Neuropsychology Health Center, Pllc | |
107 S Osprey Ave Ste 100 Sarasota FL 34236-5819 | |
(941) 216-7272 | |
Not Available |
Full Name | Neuropsychology Health Center, Pllc |
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Speciality | Clinical Neuropsychologist |
Location | 107 S Osprey Ave Ste 100, Sarasota, Florida |
Authorized Official Name and Position | Lauren Gavron (OWNER/AUTHORIZED OFFICIAL) |
Authorized Official Contact | 2485353039 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neuropsychology Health Center, Pllc 107 S Osprey Ave Ste 100 Sarasota FL 34236-5819 Ph: (248) 535-3039 | Neuropsychology Health Center, Pllc 107 S Osprey Ave Ste 100 Sarasota FL 34236-5819 Ph: (941) 216-7272 |
NPI Number | 1720712870 |
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Provider Enumeration Date | 07/14/2022 |
Last Update Date | 07/14/2022 |
Certification Date | 07/14/2022 |
Medicare PECOS PAC ID | 0547646135 |
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Medicare Enrollment ID | O20221005001887 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720712870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
Provider Name | Lauren Gavron |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1104307925 PECOS PAC ID: 0547505950 Enrollment ID: I20181212003005 |
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