| Mary Catherine Segota Psyd Pa | |
|
13350 W Colonial Dr Suite #340 Winter Garden FL 34787-3964 | |
| (407) 654-4433 | |
| Not Available |
| Full Name | Mary Catherine Segota Psyd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 13350 W Colonial Dr, Winter Garden, Florida |
| Authorized Official Name and Position | Mary-catherine Segota (PRESIDENT) |
| Authorized Official Contact | 4076544433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Catherine Segota Psyd Pa 13350 W Colonial Dr Suite #340 Winter Garden FL 34787-3964 Ph: (407) 654-4433 | Mary Catherine Segota Psyd Pa 13350 W Colonial Dr Suite #340 Winter Garden FL 34787-3964 Ph: (407) 654-4433 |
| NPI Number | 1598180119 |
|---|---|
| Provider Enumeration Date | 02/19/2014 |
| Last Update Date | 10/26/2015 |
| Medicare PECOS PAC ID | 2062722218 |
|---|---|
| Medicare Enrollment ID | O20151030001569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598180119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7123 (Florida) | Primary |
| Provider Name | Mary-catherine Josephine Segota |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376700740 PECOS PAC ID: 3476612128 Enrollment ID: I20210208000776 |
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