| Coastal Neuropsychology, Llc | |
|
3000 Gulf To Bay Blvd Ste 300 Clearwater FL 33759-4304 | |
| (800) 687-1938 | |
| (727) 495-7233 |
| Full Name | Coastal Neuropsychology, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3000 Gulf To Bay Blvd Ste 300, Clearwater, Florida |
| Authorized Official Name and Position | Stefanie Coppes (OWNER) |
| Authorized Official Contact | 8006871938 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Neuropsychology, Llc Po Box 8 Terra Ceia FL 34250-0008 Ph: () - | Coastal Neuropsychology, Llc 3000 Gulf To Bay Blvd Ste 300 Clearwater FL 33759-4304 Ph: (800) 687-1938 |
| NPI Number | 1871956805 |
|---|---|
| Provider Enumeration Date | 03/29/2016 |
| Last Update Date | 07/05/2022 |
| Certification Date | 07/05/2022 |
| Medicare PECOS PAC ID | 6406135748 |
|---|---|
| Medicare Enrollment ID | O20161109001841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871956805 | NPI | - | NPPES |
| Provider Name | Christina D Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487886164 PECOS PAC ID: 1052452935 Enrollment ID: I20100114000385 |
| Provider Name | Laura E Lajos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174556765 PECOS PAC ID: 9234194275 Enrollment ID: I20101206000545 |
| Provider Name | Stefanie Coppes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093065807 PECOS PAC ID: 2365680261 Enrollment ID: I20130605000423 |
| Provider Name | Jennifer L Thibodeaux |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013467919 PECOS PAC ID: 9739469552 Enrollment ID: I20161213000434 |
| Provider Name | Janet M Bertoldi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750305587 PECOS PAC ID: 0446293195 Enrollment ID: I20181219000644 |
| Provider Name | Kalynn Gruenfelder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912625260 PECOS PAC ID: 3274999016 Enrollment ID: I20230519001726 |
| Provider Name | Samantha Omelian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982089140 PECOS PAC ID: 1355792730 Enrollment ID: I20240110002126 |
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