| Neuropsych Wellness Llc | |
|
110 E Broward Blvd Ste 1700 Fort Lauderdale FL 33301-3500 | |
| (917) 626-6017 | |
| Not Available |
| Full Name | Neuropsych Wellness Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 110 E Broward Blvd Ste 1700, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Theodoros Tsaousides (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 9176266017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsych Wellness Llc 110 E Broward Blvd Ste 1700 Fort Lauderdale FL 33301-3500 Ph: (917) 626-6017 | Neuropsych Wellness Llc 110 E Broward Blvd Ste 1700 Fort Lauderdale FL 33301-3500 Ph: (917) 626-6017 |
| NPI Number | 1740914159 |
|---|---|
| Provider Enumeration Date | 07/12/2022 |
| Last Update Date | 07/12/2022 |
| Certification Date | 06/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740914159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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