| Neuroscience Center | |
|
1401 Centerville Rd Suite 504 Tallahassee FL 32308-4647 | |
| (850) 431-5001 | |
| (850) 431-6101 |
| Full Name | Neuroscience Center |
|---|---|
| Speciality | Social Worker |
| Location | 1401 Centerville Rd, Tallahassee, Florida |
| Authorized Official Name and Position | Judy Shipman (COORDINATOR) |
| Authorized Official Contact | 8504315001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuroscience Center 1401 Centerville Rd Suite 504 Tallahassee FL 32308-4647 Ph: (850) 431-5001 | Neuroscience Center 1401 Centerville Rd Suite 504 Tallahassee FL 32308-4647 Ph: (850) 431-5001 |
| NPI Number | 1912160193 |
|---|---|
| Provider Enumeration Date | 07/08/2008 |
| Last Update Date | 07/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912160193 | NPI | - | NPPES |
| 24766O | Other | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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