| Piece Of Mind Neuropsychology Inc. | |
|
4660 La Jolla Village Dr Ste 100 San Diego CA 92122-4604 | |
| (720) 715-2212 | |
| (888) 388-2142 |
| Full Name | Piece Of Mind Neuropsychology Inc. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 4660 La Jolla Village Dr Ste 100, San Diego, California |
| Authorized Official Name and Position | Karen Marie Mikolic (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7207152212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Piece Of Mind Neuropsychology Inc. Po Box 721034 San Diego CA 92172-1034 Ph: (720) 715-2212 | Piece Of Mind Neuropsychology Inc. 4660 La Jolla Village Dr Ste 100 San Diego CA 92122-4604 Ph: (720) 715-2212 |
| NPI Number | 1366032526 |
|---|---|
| Provider Enumeration Date | 01/21/2021 |
| Last Update Date | 09/15/2023 |
| Certification Date | 09/15/2023 |
| Medicare PECOS PAC ID | 2365829637 |
|---|---|
| Medicare Enrollment ID | O20220509000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366032526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Karen Mikolic |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952680829 PECOS PAC ID: 7214104280 Enrollment ID: I20220509000403 |
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