| Mind Body Psychology Services Llc | |
|
4600 Military Trl Ste 103 Jupiter FL 33458-4811 | |
| (561) 249-7400 | |
| Not Available |
| Full Name | Mind Body Psychology Services Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4600 Military Trl Ste 103, Jupiter, Florida |
| Authorized Official Name and Position | Lisa Smalheiser (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9548292975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body Psychology Services Llc 4600 Military Trl Ste 103 Jupiter FL 33458-4811 Ph: (561) 249-7400 | Mind Body Psychology Services Llc 4600 Military Trl Ste 103 Jupiter FL 33458-4811 Ph: (561) 249-7400 |
| NPI Number | 1396112157 |
|---|---|
| Provider Enumeration Date | 08/27/2015 |
| Last Update Date | 08/03/2023 |
| Certification Date | 08/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396112157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY 9109 (Florida) | Primary |
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