Alliance Psychological, Inc. | |
407 Lincoln Rd Ste 6k Miami Beach FL 33139-3023 | |
(305) 672-1104 | |
Not Available |
Full Name | Alliance Psychological, Inc. |
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Speciality | Psychologist |
Location | 407 Lincoln Rd Ste 6k, Miami Beach, Florida |
Authorized Official Name and Position | Kenneth Christiansen (PSYCHOLOGIST) |
Authorized Official Contact | 3056721104 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alliance Psychological, Inc. 407 Lincoln Rd Ste 6k Miami Beach FL 33139-3023 Ph: (305) 672-1104 | Alliance Psychological, Inc. 407 Lincoln Rd Ste 6k Miami Beach FL 33139-3023 Ph: (305) 672-1104 |
NPI Number | 1063680643 |
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Provider Enumeration Date | 02/15/2008 |
Last Update Date | 02/15/2008 |
Medicare PECOS PAC ID | 5496780785 |
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Medicare Enrollment ID | O20051005000985 |
Identifier | Type | State | Issuer |
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1063680643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | PY5813 (Florida) | Primary |
Provider Name | Kenneth Christiansen |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1366542078 PECOS PAC ID: 5193750487 Enrollment ID: I20111213000731 |
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