| Neurocortex Psychological Services Llc | |
|
11520 Sw 69th Ct Pinecrest FL 33156-4734 | |
| (305) 669-2549 | |
| (877) 579-7427 |
| Full Name | Neurocortex Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 11520 Sw 69th Ct, Pinecrest, Florida |
| Authorized Official Name and Position | Margie Molinet Molina (OPERATING MANAGER) |
| Authorized Official Contact | 3056692549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurocortex Psychological Services Llc 11520 Sw 69th Ct Pinecrest FL 33156-4734 Ph: (305) 669-2549 | Neurocortex Psychological Services Llc 11520 Sw 69th Ct Pinecrest FL 33156-4734 Ph: (305) 669-2549 |
| NPI Number | 1487015491 |
|---|---|
| Provider Enumeration Date | 03/18/2016 |
| Last Update Date | 05/19/2021 |
| Certification Date | 05/19/2021 |
| Medicare PECOS PAC ID | 4284906298 |
|---|---|
| Medicare Enrollment ID | O20170824002948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487015491 | NPI | - | NPPES |
| Provider Name | Margie Molinet Molina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891759247 PECOS PAC ID: 2163442666 Enrollment ID: I20051129000801 |
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