The Mind Studio | |
1403 Cat Mar Rd Niceville FL 32578-9742 | |
(850) 816-0408 | |
Not Available |
Full Name | The Mind Studio |
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Speciality | Clinical Neuropsychologist |
Location | 1403 Cat Mar Rd, Niceville, Florida |
Authorized Official Name and Position | Ashley Luella Downey (PRACTICE MANAGER) |
Authorized Official Contact | 8506966640 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Mind Studio 1403 Cat Mar Rd Niceville FL 32578-9742 Ph: (850) 816-0408 | The Mind Studio 1403 Cat Mar Rd Niceville FL 32578-9742 Ph: (850) 816-0408 |
NPI Number | 1760119978 |
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Provider Enumeration Date | 08/07/2022 |
Last Update Date | 02/22/2023 |
Certification Date | 02/22/2023 |
Medicare PECOS PAC ID | 6901282979 |
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Medicare Enrollment ID | O20220928001153 |
Identifier | Type | State | Issuer |
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1760119978 | NPI | - | NPPES |
1811436371 | Other | NPI | |
1750451019 | Other | NPI | |
14779277176 | Other | NPI |
Provider Name | Jordin E Early |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750451019 PECOS PAC ID: 3971764044 Enrollment ID: I20120417000432 |
Provider Name | Cayleigh Suzanne Benny Harper |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1477927176 PECOS PAC ID: 6103126602 Enrollment ID: I20151207001501 |
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