Phil Heller, Psy.d., P.a. | |
2200 Nw Corporate Blvd Suite 110 Boca Raton FL 33431-7387 | |
(561) 994-4565 | |
(561) 994-3552 |
Full Name | Phil Heller, Psy.d., P.a. |
---|---|
Speciality | Psychologist |
Location | 2200 Nw Corporate Blvd, Boca Raton, Florida |
Authorized Official Name and Position | Phil Heller (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 5619944565 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Phil Heller, Psy.d., P.a. 2200 Nw Corporate Blvd Suite 110 Boca Raton FL 33431-7387 Ph: (561) 994-4565 | Phil Heller, Psy.d., P.a. 2200 Nw Corporate Blvd Suite 110 Boca Raton FL 33431-7387 Ph: (561) 994-4565 |
NPI Number | 1164727814 |
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Provider Enumeration Date | 01/11/2011 |
Last Update Date | 01/11/2011 |
Medicare PECOS PAC ID | 4981882826 |
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Medicare Enrollment ID | O20110624000300 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164727814 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY3822 (Florida) | Primary |
Provider Name | Philip E Heller |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1215024054 PECOS PAC ID: 9436337383 Enrollment ID: I20110624000313 |
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