| Nancy Mackay, P.a. | |
|
1970 Michigan Ave # J-2 Cocoa FL 32922-5758 | |
| (321) 639-4483 | |
| Not Available |
| Full Name | Nancy Mackay, P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 1970 Michigan Ave # J-2, Cocoa, Florida |
| Authorized Official Name and Position | Nancy Mackay (OWNER) |
| Authorized Official Contact | 3216394483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Mackay, P.a. 1970 Michigan Ave # J-2 Cocoa FL 32922-5758 Ph: (321) 639-4483 | Nancy Mackay, P.a. 1970 Michigan Ave # J-2 Cocoa FL 32922-5758 Ph: (321) 639-4483 |
| NPI Number | 1699079541 |
|---|---|
| Provider Enumeration Date | 01/07/2011 |
| Last Update Date | 01/07/2011 |
| Medicare PECOS PAC ID | 2961691597 |
|---|---|
| Medicare Enrollment ID | O20110112000509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699079541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nancy E Mackay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134183569 PECOS PAC ID: 4587853114 Enrollment ID: I20110112000561 |
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