| Michael C Riordan Psy D P A | |
|
2107 S 10th St Fort Pierce FL 34950-5318 | |
| (772) 464-5555 | |
| (772) 468-8378 |
| Full Name | Michael C Riordan Psy D P A |
|---|---|
| Speciality | Psychologist |
| Location | 2107 S 10th St, Fort Pierce, Florida |
| Authorized Official Name and Position | Lucy Riordan (REGISTERED AGENT) |
| Authorized Official Contact | 7724645555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael C Riordan Psy D P A 2107 S 10th St Fort Pierce FL 34950-5318 Ph: (772) 464-5555 | Michael C Riordan Psy D P A 2107 S 10th St Fort Pierce FL 34950-5318 Ph: (772) 464-5555 |
| NPI Number | 1366631608 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 05/29/2008 |
| Medicare PECOS PAC ID | 5991876146 |
|---|---|
| Medicare Enrollment ID | O20080617000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366631608 | NPI | - | NPPES |
| Provider Name | Michael C Riordan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144258096 PECOS PAC ID: 4981780608 Enrollment ID: I20080320000602 |
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