| Adult & Pediatric Neuropsychology Center Pa | |
|
5153 N 9th Ave Suite 304 Pensacola FL 32504-8785 | |
| (850) 484-7800 | |
| (850) 484-7811 |
| Full Name | Adult & Pediatric Neuropsychology Center Pa |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 5153 N 9th Ave, Pensacola, Florida |
| Authorized Official Name and Position | Karen Hagerott (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 8504847800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult & Pediatric Neuropsychology Center Pa 5153 N 9th Ave Suite 304 Pensacola FL 32504-8785 Ph: (850) 484-7800 | Adult & Pediatric Neuropsychology Center Pa 5153 N 9th Ave Suite 304 Pensacola FL 32504-8785 Ph: (850) 484-7800 |
| NPI Number | 1770564452 |
|---|---|
| Provider Enumeration Date | 11/09/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770564452 | NPI | - | NPPES |
| 73828 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY4571 (Florida) | Primary |
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