Majid A. Shams, Phd, Pa | |
12788 W Forest Hill Blvd 1002 Wellington FL 33414-4703 | |
(561) 753-5997 | |
Not Available |
Full Name | Majid A. Shams, Phd, Pa |
---|---|
Speciality | Psychologist |
Location | 12788 W Forest Hill Blvd, Wellington, Florida |
Authorized Official Name and Position | Abdolmajid A Shams (OWNER/PRESIDENT) |
Authorized Official Contact | 5617535997 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Majid A. Shams, Phd, Pa 15940 Pine Strand Ct Wellington FL 33414-6365 Ph: (561) 753-5997 | Majid A. Shams, Phd, Pa 12788 W Forest Hill Blvd 1002 Wellington FL 33414-4703 Ph: (561) 753-5997 |
NPI Number | 1881995652 |
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Provider Enumeration Date | 11/10/2010 |
Last Update Date | 11/10/2010 |
Medicare PECOS PAC ID | 5294921813 |
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Medicare Enrollment ID | O20101122001048 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881995652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY4959 (Florida) | Primary |
Provider Name | Majid Shams |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1922078179 PECOS PAC ID: 2365627338 Enrollment ID: I20110506000627 |
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