| Space Coast Neuropsychology Center Inc | |
|
1900 S Harbor City Blvd Melbourne FL 32901-4749 | |
| (321) 373-1303 | |
| Not Available |
| Full Name | Space Coast Neuropsychology Center Inc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1900 S Harbor City Blvd, Melbourne, Florida |
| Authorized Official Name and Position | Christine Salinas (OWNER) |
| Authorized Official Contact | 3213731303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Space Coast Neuropsychology Center Inc 1900 S Harbor City Blvd Melbourne FL 32901-4749 Ph: (321) 373-1303 | Space Coast Neuropsychology Center Inc 1900 S Harbor City Blvd Melbourne FL 32901-4749 Ph: (321) 373-1303 |
| NPI Number | 1417307984 |
|---|---|
| Provider Enumeration Date | 06/15/2016 |
| Last Update Date | 06/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417307984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY8636 (Florida) | Primary |
| 103TC0700X | Psychologist - Clinical | PY8636 (Florida) | Secondary |
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