| Diane Halperin Pa | |
|
8198 S Jog Rd Ste 201 Boynton Beach FL 33472-6903 | |
| (561) 866-5450 | |
| Not Available |
| Full Name | Diane Halperin Pa |
|---|---|
| Speciality | Social Worker |
| Location | 8198 S Jog Rd Ste 201, Boynton Beach, Florida |
| Authorized Official Name and Position | Diane Tracy Halperin (PRESIDENT) |
| Authorized Official Contact | 5618665450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Halperin Pa 8198 S Jog Rd Ste 201 Boynton Beach FL 33472-6903 Ph: (561) 866-5450 | Diane Halperin Pa 8198 S Jog Rd Ste 201 Boynton Beach FL 33472-6903 Ph: (561) 866-5450 |
| NPI Number | 1003379603 |
|---|---|
| Provider Enumeration Date | 04/10/2019 |
| Last Update Date | 04/10/2019 |
| Medicare PECOS PAC ID | 3577894674 |
|---|---|
| Medicare Enrollment ID | O20191003001706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003379603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Diane T Halperin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871602425 PECOS PAC ID: 9638257561 Enrollment ID: I20080417000539 |
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