| Susan L. Rarick, Ph.d. Llc | |
|
20747 Sterlington Drive Land O Lakes FL 34638 | |
| (813) 943-4000 | |
| (813) 948-0094 |
| Full Name | Susan L. Rarick, Ph.d. Llc |
|---|---|
| Speciality | Psychologist |
| Location | 20747 Sterlington Drive, Land O Lakes, Florida |
| Authorized Official Name and Position | Susan Louise Rarick (PRESIDENT) |
| Authorized Official Contact | 8139434000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan L. Rarick, Ph.d. Llc 20747 Sterlington Drive Land O Lakes FL 34638 Ph: (813) 943-4000 | Susan L. Rarick, Ph.d. Llc 20747 Sterlington Drive Land O Lakes FL 34638 Ph: (813) 943-4000 |
| NPI Number | 1962882050 |
|---|---|
| Provider Enumeration Date | 06/03/2015 |
| Last Update Date | 03/11/2019 |
| Medicare PECOS PAC ID | 1850606328 |
|---|---|
| Medicare Enrollment ID | O20150812007758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962882050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY 8078 (Florida) | Primary |
| Provider Name | Susan Louise Rarick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528225612 PECOS PAC ID: 2769797232 Enrollment ID: I20150812007816 |
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