| Jacqueline C Valdes, Phd Pa | |
|
2214 Hollywood Boulevard Hollywood FL 33020 | |
| (954) 927-9555 | |
| (954) 921-4604 |
| Full Name | Jacqueline C Valdes, Phd Pa |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2214 Hollywood Boulevard, Hollywood, Florida |
| Authorized Official Name and Position | Ashley Valdes (OFFICE MANAGER) |
| Authorized Official Contact | 9549279555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline C Valdes, Phd Pa 2214 Hollywood Boulevard Hollywood FL 33020 Ph: (954) 927-9555 | Jacqueline C Valdes, Phd Pa 2214 Hollywood Boulevard Hollywood FL 33020 Ph: (954) 927-9555 |
| NPI Number | 1831177435 |
|---|---|
| Provider Enumeration Date | 01/04/2006 |
| Last Update Date | 05/30/2013 |
| Medicare PECOS PAC ID | 8729166160 |
|---|---|
| Medicare Enrollment ID | O20080424000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831177435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY4945 (Florida) | Primary |
| Provider Name | Jacqueline C Valdes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538385919 PECOS PAC ID: 4183707318 Enrollment ID: I20080212000319 |
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