| Michelle Mcnally Psyd Pllc | |
|
6945 Halton Park Ln Coconut Creek FL 33073-2170 | |
| (561) 621-3137 | |
| (561) 228-5359 |
| Full Name | Michelle Mcnally Psyd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 6945 Halton Park Ln, Coconut Creek, Florida |
| Authorized Official Name and Position | Michelle Mcnally (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5616213137 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Mcnally Psyd Pllc 6945 Halton Park Ln Coconut Creek FL 33073-2170 Ph: (561) 621-3137 | Michelle Mcnally Psyd Pllc 6945 Halton Park Ln Coconut Creek FL 33073-2170 Ph: (561) 621-3137 |
| NPI Number | 1902405889 |
|---|---|
| Provider Enumeration Date | 10/21/2020 |
| Last Update Date | 10/21/2020 |
| Certification Date | 10/21/2020 |
| Medicare PECOS PAC ID | 0749691202 |
|---|---|
| Medicare Enrollment ID | O20201204001788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902405889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michelle Renee Mcnally |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922607381 PECOS PAC ID: 2567873037 Enrollment ID: I20201207000530 |
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