Corvus Psychotherapy, Llc | |
1114 Battery Creek Rd Beaufort SC 29902-6309 | |
(410) 302-8854 | |
Not Available |
Full Name | Corvus Psychotherapy, Llc |
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Speciality | Psychologist |
Location | 1114 Battery Creek Rd, Beaufort, South Carolina |
Authorized Official Name and Position | Jennifer Marie Mohorovic (PSYCHOLOGIST) |
Authorized Official Contact | 4103028854 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Corvus Psychotherapy, Llc 1114 Battery Creek Rd Beaufort SC 29902-6309 Ph: (410) 302-8854 | Corvus Psychotherapy, Llc 1114 Battery Creek Rd Beaufort SC 29902-6309 Ph: (410) 302-8854 |
NPI Number | 1396353736 |
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Provider Enumeration Date | 07/22/2020 |
Last Update Date | 11/06/2020 |
Certification Date | 11/06/2020 |
Medicare PECOS PAC ID | 3870918162 |
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Medicare Enrollment ID | O20200804000759 |
Identifier | Type | State | Issuer |
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1396353736 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Jennifer Marie Mohorovic |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1487961959 PECOS PAC ID: 4789009077 Enrollment ID: I20200804000907 |
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