Gulfside Psychology Inc | |
3902 E State Road 64 Bradenton FL 34208-9059 | |
(941) 243-3005 | |
(941) 739-9358 |
Full Name | Gulfside Psychology Inc |
---|---|
Speciality | Clinical Neuropsychologist |
Location | 3902 E State Road 64, Bradenton, Florida |
Authorized Official Name and Position | John K Mcdermott (PRESIDENT) |
Authorized Official Contact | 9412433005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gulfside Psychology Inc 5614 Cloverleaf Run Bradenton FL 34211-4048 Ph: (860) 250-4488 | Gulfside Psychology Inc 3902 E State Road 64 Bradenton FL 34208-9059 Ph: (941) 243-3005 |
NPI Number | 1861026569 |
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Provider Enumeration Date | 03/03/2020 |
Last Update Date | 08/05/2020 |
Certification Date | 08/05/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861026569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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