| Mkb Psychology Pa | |
|
3700 Washington St Ste 304 Hollywood FL 33021-8258 | |
| (954) 961-1500 | |
| Not Available |
| Full Name | Mkb Psychology Pa |
|---|---|
| Speciality | Psychologist |
| Location | 3700 Washington St Ste 304, Hollywood, Florida |
| Authorized Official Name and Position | Maria Karilshtadt-byk (PRESIDENT) |
| Authorized Official Contact | 3057785008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mkb Psychology Pa 1605 Sw 108th Ter Davie FL 33324-7171 Ph: (305) 778-5008 | Mkb Psychology Pa 3700 Washington St Ste 304 Hollywood FL 33021-8258 Ph: (954) 961-1500 |
| NPI Number | 1245818053 |
|---|---|
| Provider Enumeration Date | 04/01/2021 |
| Last Update Date | 09/29/2024 |
| Certification Date | 09/29/2024 |
| Medicare PECOS PAC ID | 3678951969 |
|---|---|
| Medicare Enrollment ID | O20220526002678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245818053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Maria Karilshtadt- Byk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932358686 PECOS PAC ID: 7517283138 Enrollment ID: I20150225002473 |
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