| Michael H. Rathjens, Psy.d, Pa | |
|
12012 S Shore Blvd Ste 108 Wellington FL 33414-6203 | |
| (561) 790-7975 | |
| (561) 790-4788 |
| Full Name | Michael H. Rathjens, Psy.d, Pa |
|---|---|
| Speciality | Psychologist |
| Location | 12012 S Shore Blvd, Wellington, Florida |
| Authorized Official Name and Position | Michael H Rathjens (OWNER) |
| Authorized Official Contact | 5617907975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael H. Rathjens, Psy.d, Pa 4682 Foxview Pl Lake Worth FL 33467-3510 Ph: (561) 790-7975 | Michael H. Rathjens, Psy.d, Pa 12012 S Shore Blvd Ste 108 Wellington FL 33414-6203 Ph: (561) 790-7975 |
| NPI Number | 1609147479 |
|---|---|
| Provider Enumeration Date | 01/25/2012 |
| Last Update Date | 01/25/2012 |
| Medicare PECOS PAC ID | 0345404919 |
|---|---|
| Medicare Enrollment ID | O20120611000524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609147479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY4666 (Florida) | Primary |
| Provider Name | Michael H Rathjens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073612404 PECOS PAC ID: 4880858455 Enrollment ID: I20120614000675 |
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