| Harald W Lettner Phd Pa | |
|
501 Goodlette Rd N Ste. C 104 Naples FL 34102-5661 | |
| (239) 434-6111 | |
| (239) 649-0472 |
| Full Name | Harald W Lettner Phd Pa |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 501 Goodlette Rd N, Naples, Florida |
| Authorized Official Name and Position | Harald Wolfgang Lettner (OWNER) |
| Authorized Official Contact | 2394346111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harald W Lettner Phd Pa 501 Goodlette Rd N Ste. C 104 Naples FL 34102-5661 Ph: (239) 434-6111 | Harald W Lettner Phd Pa 501 Goodlette Rd N Ste. C 104 Naples FL 34102-5661 Ph: (239) 434-6111 |
| NPI Number | 1508950312 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 02/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508950312 | NPI | - | NPPES |
| 59545 | Other | FL | BLUE CROSS BLUE SHIELD ID |
| PY4878 | Other | FL | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY4878 (Florida) | Primary |
| 103TC0700X | Psychologist - Clinical | PY4878 (Florida) | Secondary |
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