| Psychological Testing Associates, Inc | |
|
7469 Nw 4th St Plantation FL 33317-2216 | |
| (954) 792-0772 | |
| (954) 792-1221 |
| Full Name | Psychological Testing Associates, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 7469 Nw 4th St, Plantation, Florida |
| Authorized Official Name and Position | Matthew D Simon (PRESIDENT) |
| Authorized Official Contact | 9547920772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Testing Associates, Inc 7469 Nw 4th St Plantation FL 33317-2216 Ph: (954) 792-0772 | Psychological Testing Associates, Inc 7469 Nw 4th St Plantation FL 33317-2216 Ph: (954) 792-0772 |
| NPI Number | 1508983503 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 09/27/2007 |
| Medicare PECOS PAC ID | 3779543889 |
|---|---|
| Medicare Enrollment ID | O20041013000890 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508983503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY 6724 (Florida) | Primary |
| Provider Name | Matthew D Simon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013990266 PECOS PAC ID: 2860452984 Enrollment ID: I20041022000776 |
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