Coral Psychological Services, Pllc | |
2804 Del Prado Blvd S 202-4 Cape Coral FL 33904-7252 | |
(239) 645-1847 | |
(239) 829-0323 |
Full Name | Coral Psychological Services, Pllc |
---|---|
Speciality | Community/behavioral Health |
Location | 2804 Del Prado Blvd S, Cape Coral, Florida |
Authorized Official Name and Position | Pauline Julie Hightower (PSYCHOLOGIST) |
Authorized Official Contact | 2396451847 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Coral Psychological Services, Pllc 2804 Del Prado Blvd S 202-4 Cape Coral FL 33904-7252 Ph: (239) 645-1847 | Coral Psychological Services, Pllc 2804 Del Prado Blvd S 202-4 Cape Coral FL 33904-7252 Ph: (239) 645-1847 |
NPI Number | 1538583497 |
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Provider Enumeration Date | 02/13/2014 |
Last Update Date | 07/16/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538583497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | PY7558 (Florida) | Primary |
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