Melissa Harrison, Llc | |
11555 Heron Bay Blvd Suite 200 Coral Springs FL 33076-3360 | |
(954) 603-0077 | |
Not Available |
Full Name | Melissa Harrison, Llc |
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Speciality | Psychologist |
Location | 11555 Heron Bay Blvd, Coral Springs, Florida |
Authorized Official Name and Position | Melissa Ann Harrison (OWNER) |
Authorized Official Contact | 9546030077 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Melissa Harrison, Llc 11555 Heron Bay Blvd Suite 200 Coral Springs FL 33076-3360 Ph: (954) 603-0077 | Melissa Harrison, Llc 11555 Heron Bay Blvd Suite 200 Coral Springs FL 33076-3360 Ph: (954) 603-0077 |
NPI Number | 1720536717 |
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Provider Enumeration Date | 09/19/2016 |
Last Update Date | 09/19/2016 |
Medicare PECOS PAC ID | 9830466739 |
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Medicare Enrollment ID | O20170524002749 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720536717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Melissa A Harrison |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1932196201 PECOS PAC ID: 6507854544 Enrollment ID: I20091007000778 |
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