| Lighthouse Psychological Services | |
|
609 N Hepburn Ave Suite 103 Jupiter FL 33458-5015 | |
| (561) 745-5403 | |
| Not Available |
| Full Name | Lighthouse Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 609 N Hepburn Ave, Jupiter, Florida |
| Authorized Official Name and Position | Stephanie M Castiglia (DIRECTOR) |
| Authorized Official Contact | 5615966395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Psychological Services 609 N Hepburn Ave Suite 103 Jupiter FL 33458-5015 Ph: (561) 745-5403 | Lighthouse Psychological Services 609 N Hepburn Ave Suite 103 Jupiter FL 33458-5015 Ph: (561) 745-5403 |
| NPI Number | 1801013834 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 03/05/2009 |
| Medicare PECOS PAC ID | 5698847986 |
|---|---|
| Medicare Enrollment ID | O20080701000574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801013834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY6480 (Florida) | Primary |
| Provider Name | Stephanie M Castiglia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487871406 PECOS PAC ID: 7214029578 Enrollment ID: I20070816000699 |
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