Neda Koehnemann Ph D Inc | |
105 Jazz Drive Panama City FL 32405-4906 | |
(850) 522-9719 | |
(850) 522-9718 |
Full Name | Neda Koehnemann Ph D Inc |
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Speciality | Psychologist - Clinical |
Location | 105 Jazz Drive, Panama City, Florida |
Authorized Official Name and Position | Neda Koehnemann (PSYCHOLOGIST CLINICAL) |
Authorized Official Contact | 8505229719 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Neda Koehnemann Ph D Inc 105 Jazz Drive Panama City FL 32405-4906 Ph: (850) 522-9719 | Neda Koehnemann Ph D Inc 105 Jazz Drive Panama City FL 32405-4906 Ph: (850) 522-9719 |
NPI Number | 1902198658 |
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Provider Enumeration Date | 05/12/2011 |
Last Update Date | 12/06/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902198658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY5444 (Florida) | Primary |
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