| Integrative Health Psychology Pa | |
|
2441 W Sr 426 Suite 1021 Oviedo FL 32765-4515 | |
| (407) 706-0622 | |
| (407) 706-0623 |
| Full Name | Integrative Health Psychology Pa |
|---|---|
| Speciality | Psychologist |
| Location | 2441 W Sr 426, Oviedo, Florida |
| Authorized Official Name and Position | Louis Francis Damis (PRESIDENT) |
| Authorized Official Contact | 4077060622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Health Psychology Pa 2441 W Sr 426 Suite 1021 Oviedo FL 32765-4515 Ph: (407) 706-0622 | Integrative Health Psychology Pa 2441 W Sr 426 Suite 1021 Oviedo FL 32765-4515 Ph: (407) 706-0622 |
| NPI Number | 1457353930 |
|---|---|
| Provider Enumeration Date | 08/14/2005 |
| Last Update Date | 09/16/2008 |
| Medicare PECOS PAC ID | 6800842329 |
|---|---|
| Medicare Enrollment ID | O20050329000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457353930 | NPI | - | NPPES |
| 94987 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY 5233 (Florida) | Primary |
| Provider Name | Louis F Damis |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1831181817 PECOS PAC ID: 1456246123 Enrollment ID: I20040220000411 |
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