Health Psychology Of Palm Beach Llc | |
712 Ardmore Rd West Palm Beach FL 33401-7630 | |
(561) 373-0664 | |
Not Available |
Full Name | Health Psychology Of Palm Beach Llc |
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Speciality | Psychologist |
Location | 712 Ardmore Rd, West Palm Beach, Florida |
Authorized Official Name and Position | Carol Slonimski (OWNER) |
Authorized Official Contact | 5613730664 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Health Psychology Of Palm Beach Llc 712 Ardmore Rd West Palm Beach FL 33401-7630 Ph: (561) 373-0664 | Health Psychology Of Palm Beach Llc 712 Ardmore Rd West Palm Beach FL 33401-7630 Ph: (561) 373-0664 |
NPI Number | 1023310406 |
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Provider Enumeration Date | 11/17/2010 |
Last Update Date | 11/17/2010 |
Medicare PECOS PAC ID | 9335325075 |
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Medicare Enrollment ID | O20110516000052 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023310406 | NPI | - | NPPES |
160483 | Other | AK | MEDICARE ID TYPE UNSPECIFIED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 8071 (Florida) | Primary |
Provider Name | Carol Slonimski |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1619982345 PECOS PAC ID: 7315999497 Enrollment ID: I20110518000013 |
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