| Shannon Caramiello, Psyd, Llc | |
|
210 S Pinellas Ave Ste 245 Tarpon Springs FL 34689-3656 | |
| (561) 305-7834 | |
| Not Available |
| Full Name | Shannon Caramiello, Psyd, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 210 S Pinellas Ave Ste 245, Tarpon Springs, Florida |
| Authorized Official Name and Position | Shannon Caramiello (PSYCHOLOGICAL) |
| Authorized Official Contact | 5613057834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Caramiello, Psyd, Llc 210 S Pinellas Ave Ste 245 Tarpon Springs FL 34689-3656 Ph: (561) 305-7834 | Shannon Caramiello, Psyd, Llc 210 S Pinellas Ave Ste 245 Tarpon Springs FL 34689-3656 Ph: (561) 305-7834 |
| NPI Number | 1376104083 |
|---|---|
| Provider Enumeration Date | 06/24/2019 |
| Last Update Date | 06/24/2019 |
| Medicare PECOS PAC ID | 0143557785 |
|---|---|
| Medicare Enrollment ID | O20190806001113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376104083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Shannon Caramiello |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043663982 PECOS PAC ID: 7214264860 Enrollment ID: I20190806001339 |
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