| Gulf Coast Psychology & Health Inc | |
|
9215 12th Ave Nw Bradenton FL 34209-8303 | |
| (941) 920-7445 | |
| Not Available |
| Full Name | Gulf Coast Psychology & Health Inc |
|---|---|
| Speciality | Psychologist |
| Location | 9215 12th Ave Nw, Bradenton, Florida |
| Authorized Official Name and Position | Roxanne Dinkin (PRESIDENT) |
| Authorized Official Contact | 9417278799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Psychology & Health Inc 9215 12th Ave Nw Bradenton FL 34209-8303 Ph: (941) 920-7445 | Gulf Coast Psychology & Health Inc 9215 12th Ave Nw Bradenton FL 34209-8303 Ph: (941) 920-7445 |
| NPI Number | 1912063470 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 10/05/2022 |
| Certification Date | 10/05/2022 |
| Medicare PECOS PAC ID | 3870594294 |
|---|---|
| Medicare Enrollment ID | O20070131000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912063470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Roxane H Dinkin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568545770 PECOS PAC ID: 1557465879 Enrollment ID: I20070327000186 |
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