Dr. Talkitout Llc | |
1930 Lake Point Dr Weston FL 33326-2355 | |
(414) 803-0300 | |
Not Available |
Full Name | Dr. Talkitout Llc |
---|---|
Speciality | Psychologist |
Location | 1930 Lake Point Dr, Weston, Florida |
Authorized Official Name and Position | Anna M Kourakis (PSYCHOLOGIST/FOUNDER) |
Authorized Official Contact | 4148030300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dr. Talkitout Llc 1930 Lake Point Dr Weston FL 33326-2355 Ph: (414) 803-0300 | Dr. Talkitout Llc 1930 Lake Point Dr Weston FL 33326-2355 Ph: (414) 803-0300 |
NPI Number | 1023758588 |
---|---|
Provider Enumeration Date | 03/31/2022 |
Last Update Date | 03/31/2022 |
Certification Date | 03/31/2022 |
Medicare PECOS PAC ID | 0547639908 |
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Medicare Enrollment ID | O20221207002690 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023758588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Anna M Kourakis |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1538409156 PECOS PAC ID: 0143585752 Enrollment ID: I20180601000987 |
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