| Amelia Psychological Services, Llc | |
|
1890 S 14th St Suite 306 Fernandina Beach FL 32034-4740 | |
| (904) 432-7833 | |
| (904) 432-7831 |
| Full Name | Amelia Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1890 S 14th St, Fernandina Beach, Florida |
| Authorized Official Name and Position | Ernest Paul Bicknell (SOLE MBR) |
| Authorized Official Contact | 9044327833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amelia Psychological Services, Llc 1890 S 14th St Suite 306 Fernandina Beach FL 32034-4740 Ph: (904) 432-7833 | Amelia Psychological Services, Llc 1890 S 14th St Suite 306 Fernandina Beach FL 32034-4740 Ph: (904) 432-7833 |
| NPI Number | 1174955207 |
|---|---|
| Provider Enumeration Date | 07/31/2013 |
| Last Update Date | 07/31/2013 |
| Medicare PECOS PAC ID | 0345482246 |
|---|---|
| Medicare Enrollment ID | O20130806000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174955207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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