| Counseling And Assessment Center Of Brevard Inc | |
|
7341 Office Park Pl Ste 101 Melbourne FL 32940-8280 | |
| (321) 757-2133 | |
| Not Available |
| Full Name | Counseling And Assessment Center Of Brevard Inc |
|---|---|
| Speciality | Psychologist |
| Location | 7341 Office Park Pl Ste 101, Melbourne, Florida |
| Authorized Official Name and Position | Laurie Paquette (PRESIDENT) |
| Authorized Official Contact | 3032049283 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Assessment Center Of Brevard Inc 7341 Office Park Pl Ste 101 Melbourne FL 32940-8280 Ph: () - | Counseling And Assessment Center Of Brevard Inc 7341 Office Park Pl Ste 101 Melbourne FL 32940-8280 Ph: (321) 757-2133 |
| NPI Number | 1427535335 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 12/17/2021 |
| Certification Date | 12/17/2021 |
| Medicare PECOS PAC ID | 6507104700 |
|---|---|
| Medicare Enrollment ID | O20190213003164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427535335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laurie Paquette |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942628359 PECOS PAC ID: 3375857253 Enrollment ID: I20150805009180 |
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