| Adult & Children Psychological Services Inc | |
|
6450 W 21st Ct Suite # 207 Hialeah FL 33016-3946 | |
| (305) 826-9293 | |
| (305) 826-9224 |
| Full Name | Adult & Children Psychological Services Inc |
|---|---|
| Speciality | Psychologist |
| Location | 6450 W 21st Ct, Hialeah, Florida |
| Authorized Official Name and Position | Lourdes E. Pola (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3058269293 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult & Children Psychological Services Inc 6450 W 21st Ct Suite # 207 Hialeah FL 33016-3946 Ph: (305) 826-9293 | Adult & Children Psychological Services Inc 6450 W 21st Ct Suite # 207 Hialeah FL 33016-3946 Ph: (305) 826-9293 |
| NPI Number | 1962730143 |
|---|---|
| Provider Enumeration Date | 11/25/2009 |
| Last Update Date | 11/25/2009 |
| Medicare PECOS PAC ID | 8426226127 |
|---|---|
| Medicare Enrollment ID | O20110725000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962730143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY5253 (Florida) | Primary |
| Provider Name | Lourdes E Pola |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003832262 PECOS PAC ID: 5092754325 Enrollment ID: I20050427000192 |
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