| Robin A Avery Phd Pllc | |
|
9999 Ne 2nd Ave Suite 209e Miami Shores FL 33138-2352 | |
| (786) 615-4758 | |
| Not Available |
| Full Name | Robin A Avery Phd Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 9999 Ne 2nd Ave, Miami Shores, Florida |
| Authorized Official Name and Position | Robin A Avery (PRESIDENT) |
| Authorized Official Contact | 3059920370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robin A Avery Phd Pllc 10618 Ne 10th Pl Miami Shores FL 33138-2104 Ph: (305) 992-0370 | Robin A Avery Phd Pllc 9999 Ne 2nd Ave Suite 209e Miami Shores FL 33138-2352 Ph: (786) 615-4758 |
| NPI Number | 1801298997 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 09/19/2014 |
| Medicare PECOS PAC ID | 3678793007 |
|---|---|
| Medicare Enrollment ID | O20141006002037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801298997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Robin A Avery |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407263999 PECOS PAC ID: 8729208152 Enrollment ID: I20141006002245 |
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