| Lunden Psychological Services, Inc. | |
|
9160 Oakhurst Rd Suite 3b Seminole FL 33776-2157 | |
| (727) 240-1922 | |
| (727) 240-1928 |
| Full Name | Lunden Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 9160 Oakhurst Rd, Seminole, Florida |
| Authorized Official Name and Position | Judy Carol Lunden (PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Contact | 7272401922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lunden Psychological Services, Inc. 9160 Oakhurst Rd Suite 3b Seminole FL 33776-2157 Ph: (727) 240-1922 | Lunden Psychological Services, Inc. 9160 Oakhurst Rd Suite 3b Seminole FL 33776-2157 Ph: (727) 240-1922 |
| NPI Number | 1912393349 |
|---|---|
| Provider Enumeration Date | 04/13/2015 |
| Last Update Date | 02/20/2020 |
| Certification Date | 02/20/2020 |
| Medicare PECOS PAC ID | 4587973425 |
|---|---|
| Medicare Enrollment ID | O20151016000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912393349 | NPI | - | NPPES |
| 014703800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY9206 (Florida) | Primary |
| Provider Name | Judy C Lunden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174913461 PECOS PAC ID: 6305155243 Enrollment ID: I20151016000025 |
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