| Clearpoint Psychology | |
|
2201 Central Ave Ste 300 St Petersburg FL 33713-8844 | |
| (727) 388-9003 | |
| Not Available |
| Full Name | Clearpoint Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 2201 Central Ave Ste 300, St Petersburg, Florida |
| Authorized Official Name and Position | Dawn Suksanong (SOLE MEMBER) |
| Authorized Official Contact | 7273889003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearpoint Psychology 2201 Central Ave Ste 300 St Petersburg FL 33713-8844 Ph: () - | Clearpoint Psychology 2201 Central Ave Ste 300 St Petersburg FL 33713-8844 Ph: (727) 388-9003 |
| NPI Number | 1942793260 |
|---|---|
| Provider Enumeration Date | 06/11/2018 |
| Last Update Date | 06/11/2018 |
| Medicare PECOS PAC ID | 5597004747 |
|---|---|
| Medicare Enrollment ID | O20190305002652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942793260 | NPI | - | NPPES |
| 1265877930 | Other | NPPES | |
| PY9286 | Other | FL | FLORIDA BOARD OF PSYCHOLOGY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY9286 (Florida) | Primary |
| Provider Name | Dawn Suksanong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265877930 PECOS PAC ID: 0840579595 Enrollment ID: I20161121000681 |
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