| Jamie L Nauheim Phd Clinical Psych Pc | |
|
223 Roanoke Ave Riverhead NY 11901-2778 | |
| (631) 727-8270 | |
| (631) 369-9423 |
| Full Name | Jamie L Nauheim Phd Clinical Psych Pc |
|---|---|
| Speciality | Psychologist |
| Location | 223 Roanoke Ave, Riverhead, New York |
| Authorized Official Name and Position | Jamie L Nauheim (PRESIDENT) |
| Authorized Official Contact | 6317278270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie L Nauheim Phd Clinical Psych Pc 223 Roanoke Ave Riverhead NY 11901-2778 Ph: (631) 727-8270 | Jamie L Nauheim Phd Clinical Psych Pc 223 Roanoke Ave Riverhead NY 11901-2778 Ph: (631) 727-8270 |
| NPI Number | 1578721890 |
|---|---|
| Provider Enumeration Date | 05/23/2008 |
| Last Update Date | 07/02/2008 |
| Medicare PECOS PAC ID | 0941371645 |
|---|---|
| Medicare Enrollment ID | O20080624000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578721890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0070621 (New York) | Primary |
| Provider Name | Jamie L Nauheim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598820227 PECOS PAC ID: 9234200932 Enrollment ID: I20080624000714 |
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