Hansen-cohen Associates In Psychology, Inc | |
4301 Veronica S Shoemaker Blvd Ste B Fort Myers FL 33916-2216 | |
(239) 274-7792 | |
(239) 247-5344 |
Full Name | Hansen-cohen Associates In Psychology, Inc |
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Speciality | Psychologist |
Location | 4301 Veronica S Shoemaker Blvd Ste B, Fort Myers, Florida |
Authorized Official Name and Position | Christina Marie Hansen (PRESIDENT/LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 2392747792 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hansen-cohen Associates In Psychology, Inc 4301 Veronica S Shoemaker Blvd Ste B Fort Myers FL 33916-2216 Ph: (239) 274-7792 | Hansen-cohen Associates In Psychology, Inc 4301 Veronica S Shoemaker Blvd Ste B Fort Myers FL 33916-2216 Ph: (239) 274-7792 |
NPI Number | 1770877318 |
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Provider Enumeration Date | 05/31/2011 |
Last Update Date | 05/31/2011 |
Medicare PECOS PAC ID | 0345419636 |
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Medicare Enrollment ID | O20110802000590 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770877318 | NPI | - | NPPES |
PY 7935 | Other | FL | STATE OF FLORIDA DEPARTMENT OF HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY7935 (Florida) | Primary |
Provider Name | Christina H Cohen |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1487780938 PECOS PAC ID: 3274702576 Enrollment ID: I20110803000354 |
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