| Pasqua Marongiu Psy D Pa | |
|
1970 Michigan Ave Building C-1 Cocoa FL 32922-5758 | |
| (321) 639-0063 | |
| (321) 639-0064 |
| Full Name | Pasqua Marongiu Psy D Pa |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1970 Michigan Ave, Cocoa, Florida |
| Authorized Official Name and Position | Pasqua Maria Marongiu (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3214313222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pasqua Marongiu Psy D Pa 1970 Michigan Ave Building C-1 Cocoa FL 32922-5758 Ph: (321) 639-0063 | Pasqua Marongiu Psy D Pa 1970 Michigan Ave Building C-1 Cocoa FL 32922-5758 Ph: (321) 639-0063 |
| NPI Number | 1144464124 |
|---|---|
| Provider Enumeration Date | 04/22/2009 |
| Last Update Date | 05/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144464124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | PY7776 (Florida) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | PY7776 (Florida) | Secondary |
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