Christopher M Cortman Doctor Of Psychology Pa | |
871 Venetia Bay Blvd Ste 360 Venice FL 34285-8051 | |
(941) 485-8586 | |
(941) 480-9013 |
Full Name | Christopher M Cortman Doctor Of Psychology Pa |
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Speciality | Psychologist |
Location | 871 Venetia Bay Blvd, Venice, Florida |
Authorized Official Name and Position | Christopher M Cortman (PRESIDENT) |
Authorized Official Contact | 9414858586 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Christopher M Cortman Doctor Of Psychology Pa 871 Venetia Bay Blvd Ste 360 Venice FL 34285-8051 Ph: (941) 485-8586 | Christopher M Cortman Doctor Of Psychology Pa 871 Venetia Bay Blvd Ste 360 Venice FL 34285-8051 Ph: (941) 485-8586 |
NPI Number | 1467727016 |
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Provider Enumeration Date | 03/15/2012 |
Last Update Date | 03/15/2012 |
Medicare PECOS PAC ID | 3173783412 |
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Medicare Enrollment ID | O20120326000012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467727016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY 3567 (Florida) | Primary |
Provider Name | Christopher M Cortman |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1629160775 PECOS PAC ID: 4981864238 Enrollment ID: I20120326000037 |
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