| Psychological Consulting, Inc. | |
|
258 Ne 27th St Miami FL 33137-4522 | |
| (305) 573-9898 | |
| (305) 573-3711 |
| Full Name | Psychological Consulting, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 258 Ne 27th St, Miami, Florida |
| Authorized Official Name and Position | Gladys B Granda-rodriguez (PRESIDENT) |
| Authorized Official Contact | 3055739898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Consulting, Inc. 258 Ne 27th St Miami FL 33137-4522 Ph: (305) 573-9898 | Psychological Consulting, Inc. 258 Ne 27th St Miami FL 33137-4522 Ph: (305) 573-9898 |
| NPI Number | 1972774404 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 11/29/2010 |
| Medicare PECOS PAC ID | 1355394438 |
|---|---|
| Medicare Enrollment ID | O20120521000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972774404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY6236 (Florida) | Primary |
| Provider Name | Gladys B Granda-rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508902313 PECOS PAC ID: 6608829783 Enrollment ID: I20120531000154 |
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