| Social Science And Research Consultants Llc | |
|
3856 Sw 52nd Ave Hollywood FL 33023-6905 | |
| (786) 246-7121 | |
| (707) 443-3204 |
| Full Name | Social Science And Research Consultants Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3856 Sw 52nd Ave, Hollywood, Florida |
| Authorized Official Name and Position | Deanne Michele Samuels (OWNER) |
| Authorized Official Contact | 7862467121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Social Science And Research Consultants Llc Po Box 814358 Hollywood FL 33081-4358 Ph: (786) 246-7121 | Social Science And Research Consultants Llc 3856 Sw 52nd Ave Hollywood FL 33023-6905 Ph: (786) 246-7121 |
| NPI Number | 1154943629 |
|---|---|
| Provider Enumeration Date | 05/07/2020 |
| Last Update Date | 05/07/2020 |
| Certification Date | 05/07/2020 |
| Medicare PECOS PAC ID | 4183045479 |
|---|---|
| Medicare Enrollment ID | O20200521001849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154943629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Deanne Samuels |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144859836 PECOS PAC ID: 8123459401 Enrollment ID: I20200521000678 |
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