| Psychological Associates Of Melbourne, Inc. | |
|
1825 Riverview Dr Melbourne FL 32901-4711 | |
| (321) 541-1250 | |
| (321) 951-1928 |
| Full Name | Psychological Associates Of Melbourne, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1825 Riverview Dr, Melbourne, Florida |
| Authorized Official Name and Position | Wende J Anderson (PRESIDENT) |
| Authorized Official Contact | 3215411250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Associates Of Melbourne, Inc. 200 N Palm Ave Unit 33850 Indialantic FL 32903-5034 Ph: (321) 541-1250 | Psychological Associates Of Melbourne, Inc. 1825 Riverview Dr Melbourne FL 32901-4711 Ph: (321) 541-1250 |
| NPI Number | 1851618771 |
|---|---|
| Provider Enumeration Date | 05/03/2010 |
| Last Update Date | 02/26/2023 |
| Certification Date | 02/26/2023 |
| Medicare PECOS PAC ID | 0042342685 |
|---|---|
| Medicare Enrollment ID | O20100719000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851618771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY 7426 (Florida) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Wende J Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952477143 PECOS PAC ID: 8325144249 Enrollment ID: I20070614000681 |
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