| Eloise Stiglitz Phd Llc | |
|
1121 Webster Ave Orlando FL 32804-2852 | |
| (510) 468-4633 | |
| Not Available |
| Full Name | Eloise Stiglitz Phd Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1121 Webster Ave, Orlando, Florida |
| Authorized Official Name and Position | Eloise Stiglitz (SOLE MEMBER) |
| Authorized Official Contact | 5104684633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eloise Stiglitz Phd Llc 1121 Webster Ave Orlando FL 32804-2852 Ph: (510) 468-4633 | Eloise Stiglitz Phd Llc 1121 Webster Ave Orlando FL 32804-2852 Ph: (510) 468-4633 |
| NPI Number | 1851888408 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 04/19/2018 |
| Medicare PECOS PAC ID | 0446514830 |
|---|---|
| Medicare Enrollment ID | O20180511001135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851888408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Eloise A Stiglitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326542366 PECOS PAC ID: 9830453232 Enrollment ID: I20180511001744 |
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