| Seaside Psychological Services, Llc | |
|
1701 Highway A1a Ste 216 Vero Beach FL 32963-2250 | |
| (772) 925-1121 | |
| (772) 925-1015 |
| Full Name | Seaside Psychological Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1701 Highway A1a Ste 216, Vero Beach, Florida |
| Authorized Official Name and Position | Amy Lynn Solderich (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 7729251121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seaside Psychological Services, Llc 1701 Highway A1a Ste 216 Vero Beach FL 32963-2250 Ph: (772) 925-1121 | Seaside Psychological Services, Llc 1701 Highway A1a Ste 216 Vero Beach FL 32963-2250 Ph: (772) 925-1121 |
| NPI Number | 1245775931 |
|---|---|
| Provider Enumeration Date | 01/04/2017 |
| Last Update Date | 11/21/2022 |
| Certification Date | 11/21/2022 |
| Medicare PECOS PAC ID | 1557733375 |
|---|---|
| Medicare Enrollment ID | O20230203001890 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245775931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY 9632 (Florida) | Primary |
| Provider Name | Amy L Solderich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215287438 PECOS PAC ID: 4183965700 Enrollment ID: I20230203001534 |
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