| Judith Carney Psyd Llc | |
|
245 Sw North Wakefield Cir Port Saint Lucie FL 34953-5443 | |
| (561) 577-2352 | |
| Not Available |
| Full Name | Judith Carney Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 245 Sw North Wakefield Cir, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Judith Helene Carney (OWNER) |
| Authorized Official Contact | 5615772352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Judith Carney Psyd Llc 245 Sw North Wakefield Cir Port Saint Lucie FL 34953-5443 Ph: (561) 577-2352 | Judith Carney Psyd Llc 245 Sw North Wakefield Cir Port Saint Lucie FL 34953-5443 Ph: (561) 577-2352 |
| NPI Number | 1245744507 |
|---|---|
| Provider Enumeration Date | 11/24/2017 |
| Last Update Date | 11/24/2017 |
| Medicare PECOS PAC ID | 8921369224 |
|---|---|
| Medicare Enrollment ID | O20180301001374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245744507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY9240 (Florida) | Primary |
| Provider Name | Judith H Carney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659785947 PECOS PAC ID: 4486915691 Enrollment ID: I20180305001706 |
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