| Counseling & Development Center Inc | |
|
101 E Maud St Tavares FL 32778-3249 | |
| (352) 253-9348 | |
| (352) 253-9351 |
| Full Name | Counseling & Development Center Inc |
|---|---|
| Speciality | Psychologist |
| Location | 101 E Maud St, Tavares, Florida |
| Authorized Official Name and Position | Patrick J Ward (OWNER) |
| Authorized Official Contact | 3522539348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling & Development Center Inc 101 E Maud St Tavares FL 32778-3249 Ph: (352) 253-9348 | Counseling & Development Center Inc 101 E Maud St Tavares FL 32778-3249 Ph: (352) 253-9348 |
| NPI Number | 1851327514 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 10/18/2012 |
| Medicare PECOS PAC ID | 8426012808 |
|---|---|
| Medicare Enrollment ID | O20041116000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851327514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | SS690 (Florida) | Primary |
| Provider Name | Brian L Boyd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992746051 PECOS PAC ID: 1557325719 Enrollment ID: I20041117000346 |
| Provider Name | Deborah W Ho |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700288487 PECOS PAC ID: 0244579316 Enrollment ID: I20190307001131 |
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