| Hollywood Psychology Center Inc. | |
|
3595 Sheridan St #103 Hollywood FL 33021-3657 | |
| (954) 981-8200 | |
| Not Available |
| Full Name | Hollywood Psychology Center Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 3595 Sheridan St, Hollywood, Florida |
| Authorized Official Name and Position | Andrew S Gast (DIRECTOR) |
| Authorized Official Contact | 9549818200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hollywood Psychology Center Inc. 3595 Sheridan St #103 Hollywood FL 33021-3657 Ph: (954) 981-8200 | Hollywood Psychology Center Inc. 3595 Sheridan St #103 Hollywood FL 33021-3657 Ph: (954) 981-8200 |
| NPI Number | 1811190978 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 10/02/2014 |
| Medicare PECOS PAC ID | 6800976788 |
|---|---|
| Medicare Enrollment ID | O20140920000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811190978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7707 (Florida) | Primary |
| Provider Name | Andrew S Gast |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942475090 PECOS PAC ID: 0042385171 Enrollment ID: I20081021000247 |
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