| Maitland Psychology Pa | |
|
500 N. Maitland Ave Suite 110 Maitland FL 32751 | |
| (407) 628-5354 | |
| (407) 628-0254 |
| Full Name | Maitland Psychology Pa |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 500 N. Maitland Ave, Maitland, Florida |
| Authorized Official Name and Position | Dano Anthony Leli (OWNER) |
| Authorized Official Contact | 4076285354 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maitland Psychology Pa Po Box 947617 Maitland FL 32794-7617 Ph: (407) 628-5354 | Maitland Psychology Pa 500 N. Maitland Ave Suite 110 Maitland FL 32751 Ph: (407) 628-5354 |
| NPI Number | 1871775445 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 09/10/2010 |
| Medicare PECOS PAC ID | 6406916816 |
|---|---|
| Medicare Enrollment ID | O20081114000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871775445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY3919 (Florida) | Primary |
| Provider Name | Dano Leli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558328740 PECOS PAC ID: 5698835007 Enrollment ID: I20081114000562 |
| Provider Name | Antoneal Natois Swaby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982939013 PECOS PAC ID: 2961623699 Enrollment ID: I20141022001882 |
| Provider Name | Kristin Lynn Mickel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952703167 PECOS PAC ID: 4385866342 Enrollment ID: I20141107000903 |
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Ana L. Gomez, Psy.d. P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Lookout Pl, Suite 100, Maitland, FL 32751 Phone: 407-927-8154 | |
Serenity Now Counseling Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1061 Maitland Center Commons Blvd, Suite 206, Maitland, FL 32751 Phone: 407-788-8600 | |
Jennifer Tickal, Psy.d., P.a. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1555 N Maitland Ave, Maitland, FL 32751 Phone: 813-563-5676 | |
The Bismillah Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2450 Maitland Center Pkwy Ste 202, Maitland, FL 32751 Phone: 786-432-5464 | |
Dna Comprehensive Therapy Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 E Sybelia Ave Ste 150, Maitland, FL 32751 Phone: 239-236-8784 Fax: 239-790-2624 | |
Blanche M Stokley, Lmhc P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 S Swoope Ave Ste 205, Maitland, FL 32751 Phone: 407-691-0477 Fax: 407-691-0484 |