| Harbor Psychology | |
|
10863 Boyette Rd Riverview FL 33569-8012 | |
| (813) 531-9433 | |
| Not Available |
| Full Name | Harbor Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 10863 Boyette Rd, Riverview, Florida |
| Authorized Official Name and Position | Zachary Isoma (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8135319433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Psychology 10863 Boyette Rd Riverview FL 33569-8012 Ph: (813) 531-9433 | Harbor Psychology 10863 Boyette Rd Riverview FL 33569-8012 Ph: (813) 531-9433 |
| NPI Number | 1821565276 |
|---|---|
| Provider Enumeration Date | 10/24/2018 |
| Last Update Date | 05/05/2021 |
| Certification Date | 05/05/2021 |
| Medicare PECOS PAC ID | 0840532842 |
|---|---|
| Medicare Enrollment ID | O20190423001097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821565276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Zachary J Isoma |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1114234960 PECOS PAC ID: 1759623754 Enrollment ID: I20190423001289 |
| Provider Name | Zachary J Isoma |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114234960 PECOS PAC ID: 1759623754 Enrollment ID: I20200508002055 |
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