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5007 Gateway Avenue Suite B Orlando FL 32821 | |
| (407) 351-1055 | |
| (407) 351-1185 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 5007 Gateway Avenue, Orlando, Florida |
| Authorized Official Name and Position | Michell Lyn Arnow (PSYCHOLOGIST DIRECTOR) |
| Authorized Official Contact | 4073511055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 690881 Orlando FL 32869-0881 Ph: (407) 351-1055 | 5007 Gateway Avenue Suite B Orlando FL 32821 Ph: (407) 351-1055 |
| NPI Number | 1952320947 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 01/25/2008 |
| Medicare PECOS PAC ID | 5890869127 |
|---|---|
| Medicare Enrollment ID | O20080805000656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952320947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY6338 (Florida) | Primary |
| Provider Name | Michell Arnow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891950374 PECOS PAC ID: 1254357783 Enrollment ID: I20051024000358 |
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