| Psychdynamics, P.a. | |
|
1209 Nw 12th Ave Gainesville FL 32601-4113 | |
| (352) 376-4111 | |
| (352) 376-4122 |
| Full Name | Psychdynamics, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1209 Nw 12th Ave, Gainesville, Florida |
| Authorized Official Name and Position | Eve A Hershberger (PRESIDENT) |
| Authorized Official Contact | 3523595709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychdynamics, P.a. 1209 Nw 12th Ave Gainesville FL 32601-4113 Ph: (352) 376-4111 | Psychdynamics, P.a. 1209 Nw 12th Ave Gainesville FL 32601-4113 Ph: (352) 376-4111 |
| NPI Number | 1982948337 |
|---|---|
| Provider Enumeration Date | 11/23/2012 |
| Last Update Date | 11/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982948337 | NPI | - | NPPES |
| 063304600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0055296 (Florida) | Primary |
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