| Optimal Health Psychological Services | |
|
314 E Plant St A-106 Winter Garden FL 34787-3133 | |
| (239) 595-1217 | |
| Not Available |
| Full Name | Optimal Health Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 314 E Plant St, Winter Garden, Florida |
| Authorized Official Name and Position | Catherine Ionelli (LICENSED PSYCHOLOGIST/CEO) |
| Authorized Official Contact | 2395951217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Health Psychological Services 314 E Plant St A-106 Winter Garden FL 34787-3133 Ph: (239) 595-1217 | Optimal Health Psychological Services 314 E Plant St A-106 Winter Garden FL 34787-3133 Ph: (239) 595-1217 |
| NPI Number | 1588068159 |
|---|---|
| Provider Enumeration Date | 10/10/2014 |
| Last Update Date | 10/10/2014 |
| Medicare PECOS PAC ID | 0143449751 |
|---|---|
| Medicare Enrollment ID | O20140915000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588068159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY-8921 (Florida) | Primary |
| Provider Name | Elisa Dorrough Ewing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689745051 PECOS PAC ID: 8224103825 Enrollment ID: I20080815000608 |
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