| Lori B. Gleicher, Psy.d., Pa | |
|
4800 N Federal Hwy Suite A205 Boca Raton FL 33431-5188 | |
| (561) 789-1661 | |
| Not Available |
| Full Name | Lori B. Gleicher, Psy.d., Pa |
|---|---|
| Speciality | Psychologist |
| Location | 4800 N Federal Hwy, Boca Raton, Florida |
| Authorized Official Name and Position | Lori B. Gleicher (PRESIDENT) |
| Authorized Official Contact | 9543466003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori B. Gleicher, Psy.d., Pa 6635 Nw 48th Manor Coral Springs FL 33067 Ph: (954) 346-6003 | Lori B. Gleicher, Psy.d., Pa 4800 N Federal Hwy Suite A205 Boca Raton FL 33431-5188 Ph: (561) 789-1661 |
| NPI Number | 1568762490 |
|---|---|
| Provider Enumeration Date | 10/26/2010 |
| Last Update Date | 10/26/2010 |
| Medicare PECOS PAC ID | 7810181054 |
|---|---|
| Medicare Enrollment ID | O20101101001195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568762490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY6036 (Florida) | Primary |
| Provider Name | Lori Gleicher |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1326043480 PECOS PAC ID: 0941496319 Enrollment ID: I20101124000448 |
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