| Bright Psyche Psychology | |
|
710 Oakfield Dr Ste 223 Brandon FL 33511-4954 | |
| (813) 419-3137 | |
| (877) 599-4198 |
| Full Name | Bright Psyche Psychology |
|---|---|
| Speciality | Clinic/Center |
| Location | 710 Oakfield Dr Ste 223, Brandon, Florida |
| Authorized Official Name and Position | Magda M Lopez (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3054958347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Psyche Psychology 710 Oakfield Dr Ste 223 Brandon FL 33511-4954 Ph: (813) 419-3137 | Bright Psyche Psychology 710 Oakfield Dr Ste 223 Brandon FL 33511-4954 Ph: (813) 419-3137 |
| NPI Number | 1235552787 |
|---|---|
| Provider Enumeration Date | 02/03/2014 |
| Last Update Date | 12/10/2021 |
| Certification Date | 12/10/2021 |
| Medicare PECOS PAC ID | 1557767290 |
|---|---|
| Medicare Enrollment ID | O20210907000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235552787 | NPI | - | NPPES |
| Provider Name | Magda M Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396020913 PECOS PAC ID: 2062631054 Enrollment ID: I20140924002152 |
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