| Psychological Services & Consultations, Llc | |
|
5481 Sw 60th St Suite 502 Ocala FL 34474-7698 | |
| (352) 804-1846 | |
| (352) 509-7196 |
| Full Name | Psychological Services & Consultations, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5481 Sw 60th St, Ocala, Florida |
| Authorized Official Name and Position | Mohamed Khan (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3528041846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Services & Consultations, Llc 5481 Sw 60th St Suite 502 Ocala FL 34474-7698 Ph: (352) 804-1846 | Psychological Services & Consultations, Llc 5481 Sw 60th St Suite 502 Ocala FL 34474-7698 Ph: (352) 804-1846 |
| NPI Number | 1770967309 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 07/14/2015 |
| Medicare PECOS PAC ID | 1850607292 |
|---|---|
| Medicare Enrollment ID | O20150901000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770967309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY8523 (Florida) | Primary |
| Provider Name | Mohamed S Khan |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1093130957 PECOS PAC ID: 9830405273 Enrollment ID: I20150901000519 |
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