| Psychotherapy Services By Gail Bronstein Decina Llc | |
|
17 Willowbrook Ln Apt 102 Delray Beach FL 33446-1644 | |
| (561) 556-2738 | |
| Not Available |
| Full Name | Psychotherapy Services By Gail Bronstein Decina Llc |
|---|---|
| Speciality | Social Worker |
| Location | 17 Willowbrook Ln Apt 102, Delray Beach, Florida |
| Authorized Official Name and Position | Gail Decina (PROVIDER/OWNER) |
| Authorized Official Contact | 5495407415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy Services By Gail Bronstein Decina Llc 17 Willowbrook Ln Apt 102 Delray Beach FL 33446-1644 Ph: (954) 540-7415 | Psychotherapy Services By Gail Bronstein Decina Llc 17 Willowbrook Ln Apt 102 Delray Beach FL 33446-1644 Ph: (561) 556-2738 |
| NPI Number | 1750007043 |
|---|---|
| Provider Enumeration Date | 10/18/2022 |
| Last Update Date | 08/01/2024 |
| Certification Date | 07/31/2024 |
| Medicare PECOS PAC ID | 5294103123 |
|---|---|
| Medicare Enrollment ID | O20221123002425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750007043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gail Decina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063455426 PECOS PAC ID: 1557435054 Enrollment ID: I20080731000737 |
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