| Jacky Pepper, Psy D, Inc | |
|
1500 N University Dr Suite 202 Coral Springs FL 33071-8914 | |
| (954) 345-2292 | |
| (954) 341-8101 |
| Full Name | Jacky Pepper, Psy D, Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1500 N University Dr, Coral Springs, Florida |
| Authorized Official Name and Position | Jacky Pepper (OWNER) |
| Authorized Official Contact | 9542320044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacky Pepper, Psy D, Inc 1500 N University Dr Suite 202 Coral Springs FL 33071-8914 Ph: (954) 345-2292 | Jacky Pepper, Psy D, Inc 1500 N University Dr Suite 202 Coral Springs FL 33071-8914 Ph: (954) 345-2292 |
| NPI Number | 1841321791 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 12/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841321791 | NPI | - | NPPES |
| 54571 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY6102 (Florida) | Primary |
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