| Neurocognitive Solutions Llc | |
|
12360 66th St Ste 930 Largo FL 33773-3434 | |
| (941) 877-0161 | |
| Not Available |
| Full Name | Neurocognitive Solutions Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12360 66th St Ste 930, Largo, Florida |
| Authorized Official Name and Position | Christine Aust (OWNER) |
| Authorized Official Contact | 9418770161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurocognitive Solutions Llc 7210 Manatee Ave W # 1023 Bradenton FL 34209-3439 Ph: (947) 877-0161 | Neurocognitive Solutions Llc 12360 66th St Ste 930 Largo FL 33773-3434 Ph: (941) 877-0161 |
| NPI Number | 1518625581 |
|---|---|
| Provider Enumeration Date | 12/07/2021 |
| Last Update Date | 01/25/2022 |
| Certification Date | 01/25/2022 |
| Medicare PECOS PAC ID | 4082006960 |
|---|---|
| Medicare Enrollment ID | O20220127000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518625581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Christine M Aust |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669780664 PECOS PAC ID: 8325331432 Enrollment ID: I20160727001578 |
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