Cobiella Center For Change, Inc. | |
953 Ne Jensen Beach Blvd Jensen Beach FL 34957-4705 | |
(772) 225-1224 | |
Not Available |
Full Name | Cobiella Center For Change, Inc. |
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Speciality | Psychologist - Clinical |
Location | 953 Ne Jensen Beach Blvd, Jensen Beach, Florida |
Authorized Official Name and Position | Debbie Mulach (OFFICE MANAGER) |
Authorized Official Contact | 7722251224 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cobiella Center For Change, Inc. 953 Ne Jensen Beach Blvd Jensen Beach FL 34957-4705 Ph: (772) 225-1224 | Cobiella Center For Change, Inc. 953 Ne Jensen Beach Blvd Jensen Beach FL 34957-4705 Ph: (772) 225-1224 |
NPI Number | 1013199082 |
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Provider Enumeration Date | 12/03/2007 |
Last Update Date | 01/05/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013199082 | NPI | - | NPPES |
1568551828 | Other | FL | IND. NPI # |
1285723668 | Other | FL | IND. NPI # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 650238748 (Florida) | Primary |
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