| |
1860 82nd Ave Ste 201 Vero Beach FL 32966-6998 | |
(772) 365-4934 | |
(772) 362-6901 |
Full Name | |
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Speciality | Clinical Neuropsychologist |
Location | 1860 82nd Ave Ste 201, Vero Beach, Florida |
Authorized Official Name and Position | Laura Annette Adams (NEUROPSYCHOLOGIST/PSYCHOLOGIST/PRES) |
Authorized Official Contact | 7723654934 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1860 82nd Ave Ste 201 Vero Beach FL 32966-6998 Ph: (772) 365-4934 | 1860 82nd Ave Ste 201 Vero Beach FL 32966-6998 Ph: (772) 365-4934 |
NPI Number | 1205559028 |
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Provider Enumeration Date | 09/26/2022 |
Last Update Date | 11/29/2022 |
Certification Date | 11/29/2022 |
Medicare PECOS PAC ID | 9436528668 |
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Medicare Enrollment ID | O20221212000466 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205559028 | NPI | - | NPPES |
1750851887 | Other | INDIVIDUAL NPI |
Provider Name | Laura Annette Adams |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1750851887 PECOS PAC ID: 5496092926 Enrollment ID: I20200316001259 |
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