| Steven S. Minter, Psy.d., Llc | |
|
607 S Alexander St Suite 104 Plant City FL 33563-5053 | |
| (813) 385-7041 | |
| (813) 423-6568 |
| Full Name | Steven S. Minter, Psy.d., Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 607 S Alexander St, Plant City, Florida |
| Authorized Official Name and Position | Steven Shelby Minter (MANAGING MEMBER) |
| Authorized Official Contact | 8133857041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven S. Minter, Psy.d., Llc 607 S Alexander St Suite 104 Plant City FL 33563-5053 Ph: (813) 385-7041 | Steven S. Minter, Psy.d., Llc 607 S Alexander St Suite 104 Plant City FL 33563-5053 Ph: (813) 385-7041 |
| NPI Number | 1174872584 |
|---|---|
| Provider Enumeration Date | 08/30/2012 |
| Last Update Date | 08/30/2012 |
| Medicare PECOS PAC ID | 0446409098 |
|---|---|
| Medicare Enrollment ID | O20120926000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174872584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | PY8553 (Florida) | Primary |
| Provider Name | Steven S Minter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407102346 PECOS PAC ID: 9234388893 Enrollment ID: I20120927000010 |
| Provider Name | Steven S Minter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407102346 PECOS PAC ID: 9234388893 Enrollment ID: I20150203000688 |
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