| Dr Ellen Suarez-pinzas Psyd Pa | |
|
5424 Strickland Ave Lakeland FL 33812-4264 | |
| (863) 644-8470 | |
| Not Available |
| Full Name | Dr Ellen Suarez-pinzas Psyd Pa |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5424 Strickland Ave, Lakeland, Florida |
| Authorized Official Name and Position | Ellen A Suarez-pinzas (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 8632254153 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ellen Suarez-pinzas Psyd Pa 5424 Strickland Ave Lakeland FL 33812-4264 Ph: (863) 644-8470 | Dr Ellen Suarez-pinzas Psyd Pa 5424 Strickland Ave Lakeland FL 33812-4264 Ph: (863) 644-8470 |
| NPI Number | 1558797944 |
|---|---|
| Provider Enumeration Date | 09/18/2013 |
| Last Update Date | 11/24/2021 |
| Certification Date | 11/24/2021 |
| Medicare PECOS PAC ID | 5193969590 |
|---|---|
| Medicare Enrollment ID | O20130925000844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558797944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY8537 (Florida) | Primary |
| Provider Name | Ellen A Suarez-pinzas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013359025 PECOS PAC ID: 6406090703 Enrollment ID: I20130925000922 |
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