| Becoming More Journeys Llc | |
|
2500 Quantum Lakes Dr Ste 203 Boynton Beach FL 33426-8323 | |
| (732) 239-7208 | |
| Not Available |
| Full Name | Becoming More Journeys Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2500 Quantum Lakes Dr Ste 203, Boynton Beach, Florida |
| Authorized Official Name and Position | Gina Rudolph (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7322397208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Becoming More Journeys Llc 2500 Quantum Lakes Dr Ste 203 Boynton Beach FL 33426-8323 Ph: (732) 239-7208 | Becoming More Journeys Llc 2500 Quantum Lakes Dr Ste 203 Boynton Beach FL 33426-8323 Ph: (732) 239-7208 |
| NPI Number | 1164140364 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 08/15/2022 |
| Certification Date | 08/15/2022 |
| Medicare PECOS PAC ID | 3577947332 |
|---|---|
| Medicare Enrollment ID | O20220829002922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164140364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gina Rudolph |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215107503 PECOS PAC ID: 1850460205 Enrollment ID: I20220829003218 |
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