| Psychology & Developmental Clinic, Llc | |
|
1928 Proctor Ave Orlando FL 32817-4200 | |
| (678) 940-4602 | |
| Not Available |
| Full Name | Psychology & Developmental Clinic, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1928 Proctor Ave, Orlando, Florida |
| Authorized Official Name and Position | Brenda L. Arroyo Crespo (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4076634214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology & Developmental Clinic, Llc 5150 Hook Hollow Cir Orlando FL 32837-4913 Ph: (407) 663-4214 | Psychology & Developmental Clinic, Llc 1928 Proctor Ave Orlando FL 32817-4200 Ph: (678) 940-4602 |
| NPI Number | 1063035897 |
|---|---|
| Provider Enumeration Date | 05/27/2020 |
| Last Update Date | 05/27/2020 |
| Certification Date | 05/27/2020 |
| Medicare PECOS PAC ID | 8224407531 |
|---|---|
| Medicare Enrollment ID | O20221208001761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063035897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brenda Arroyo Crespo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659917599 PECOS PAC ID: 1355776808 Enrollment ID: I20200110002283 |
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