| Ellen Price Phd Llc | |
|
7025 Beracasa Way Ste 102c Boca Raton FL 33433-3428 | |
| (561) 479-0603 | |
| Not Available |
| Full Name | Ellen Price Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7025 Beracasa Way Ste 102c, Boca Raton, Florida |
| Authorized Official Name and Position | Ellen Frances Price (PSYCHOLOGIST) |
| Authorized Official Contact | 5614790603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Price Phd Llc 7025 Beracasa Way Ste 102c Boca Raton FL 33433-3428 Ph: (561) 479-0603 | Ellen Price Phd Llc 7025 Beracasa Way Ste 102c Boca Raton FL 33433-3428 Ph: (561) 479-0603 |
| NPI Number | 1215547153 |
|---|---|
| Provider Enumeration Date | 08/05/2020 |
| Last Update Date | 04/14/2022 |
| Certification Date | 04/14/2022 |
| Medicare PECOS PAC ID | 8628465168 |
|---|---|
| Medicare Enrollment ID | O20220502000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215547153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Ellen F Price |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235139650 PECOS PAC ID: 2961563051 Enrollment ID: I20081208000541 |
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