| Jeri Hosick, Ph.d., Lmhc, P.a. | |
|
1402 Royal Palm Beach Blvd Royal Palm Beach FL 33411-1691 | |
| (561) 792-7755 | |
| (561) 792-0399 |
| Full Name | Jeri Hosick, Ph.d., Lmhc, P.a. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1402 Royal Palm Beach Blvd, Royal Palm Beach, Florida |
| Authorized Official Name and Position | Jeri Hosick (PRESIDENT, VP, S, T) |
| Authorized Official Contact | 5617956296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeri Hosick, Ph.d., Lmhc, P.a. Po Box 210746 West Palm Beach FL 33421-0746 Ph: (561) 795-6296 | Jeri Hosick, Ph.d., Lmhc, P.a. 1402 Royal Palm Beach Blvd Royal Palm Beach FL 33411-1691 Ph: (561) 792-7755 |
| NPI Number | 1952660102 |
|---|---|
| Provider Enumeration Date | 05/09/2012 |
| Last Update Date | 05/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952660102 | NPI | - | NPPES |
| MH 0002784 | Other | FL | STATE OF FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MH 2784 (Florida) | Primary |
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