| Jean L Trescott Phd Rn Pa | |
|
1031 Ives Dairy Rd Suite 119 Miami FL 33179-2538 | |
| (305) 772-0924 | |
| (954) 920-0925 |
| Full Name | Jean L Trescott Phd Rn Pa |
|---|---|
| Speciality | Psychologist |
| Location | 1031 Ives Dairy Rd, Miami, Florida |
| Authorized Official Name and Position | Jean L Trescott (OWNER) |
| Authorized Official Contact | 3057720924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean L Trescott Phd Rn Pa 1044 S Northlake Dr Hollywood FL 33019-1315 Ph: (305) 772-0924 | Jean L Trescott Phd Rn Pa 1031 Ives Dairy Rd Suite 119 Miami FL 33179-2538 Ph: (305) 772-0924 |
| NPI Number | 1720414394 |
|---|---|
| Provider Enumeration Date | 09/16/2013 |
| Last Update Date | 09/16/2013 |
| Medicare PECOS PAC ID | 6406082981 |
|---|---|
| Medicare Enrollment ID | O20131112001610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720414394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY4780 (Florida) | Primary |
| Provider Name | Jean L Trescott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528270105 PECOS PAC ID: 0042261117 Enrollment ID: I20050207000130 |
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