| Joshua Rooks, Phd, Llc | |
|
7328 Jacaranda Ln Miami Lakes FL 33014-2670 | |
| (616) 403-5958 | |
| Not Available |
| Full Name | Joshua Rooks, Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7328 Jacaranda Ln, Miami Lakes, Florida |
| Authorized Official Name and Position | Joshua Rooks (OWNER) |
| Authorized Official Contact | 6164035958 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Rooks, Phd, Llc 7328 Jacaranda Ln Miami Lakes FL 33014-2670 Ph: (616) 403-5958 | Joshua Rooks, Phd, Llc 7328 Jacaranda Ln Miami Lakes FL 33014-2670 Ph: (616) 403-5958 |
| NPI Number | 1912512831 |
|---|---|
| Provider Enumeration Date | 09/09/2020 |
| Last Update Date | 09/09/2020 |
| Certification Date | 09/09/2020 |
| Medicare PECOS PAC ID | 3678989050 |
|---|---|
| Medicare Enrollment ID | O20210310000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912512831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joshua Daniel Rooks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821632779 PECOS PAC ID: 9830527308 Enrollment ID: I20200316001628 |
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