| Elizabeth Laquidara Phd Pa | |
|
7025 Beracasa Way 102 B Boca Raton FL 33433-3443 | |
| (561) 416-7338 | |
| Not Available |
| Full Name | Elizabeth Laquidara Phd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 7025 Beracasa Way, Boca Raton, Florida |
| Authorized Official Name and Position | Elizabeth Laquidara (OWNER/PRESIDENT) |
| Authorized Official Contact | 5614161008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Laquidara Phd Pa 7025 Beracasa Way Ste 102b Boca Raton FL 33433-3428 Ph: (561) 416-7338 | Elizabeth Laquidara Phd Pa 7025 Beracasa Way 102 B Boca Raton FL 33433-3443 Ph: (561) 416-7338 |
| NPI Number | 1891936225 |
|---|---|
| Provider Enumeration Date | 03/16/2009 |
| Last Update Date | 02/25/2020 |
| Certification Date | 02/25/2020 |
| Medicare PECOS PAC ID | 0840349742 |
|---|---|
| Medicare Enrollment ID | O20090526000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891936225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY5164 (Florida) | Primary |
| Provider Name | Elizabeth Laquidara |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366496291 PECOS PAC ID: 4284783671 Enrollment ID: I20090513000619 |
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