| Teresa M Picciocchi Psyd Inc | |
|
4965 Sw 91st Ter Suite A Gainesville FL 32608-8149 | |
| (352) 337-0551 | |
| Not Available |
| Full Name | Teresa M Picciocchi Psyd Inc |
|---|---|
| Speciality | Psychologist |
| Location | 4965 Sw 91st Ter, Gainesville, Florida |
| Authorized Official Name and Position | Teresa M Picciocchi (OWNER) |
| Authorized Official Contact | 3523370551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa M Picciocchi Psyd Inc 4965 Sw 91st Ter Suite A Gainesville FL 32608-8149 Ph: (352) 337-0551 | Teresa M Picciocchi Psyd Inc 4965 Sw 91st Ter Suite A Gainesville FL 32608-8149 Ph: (352) 337-0551 |
| NPI Number | 1871779173 |
|---|---|
| Provider Enumeration Date | 01/16/2008 |
| Last Update Date | 01/16/2008 |
| Medicare PECOS PAC ID | 9335207331 |
|---|---|
| Medicare Enrollment ID | O20081020000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871779173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Teresa M Picciocchi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508887696 PECOS PAC ID: 1850493255 Enrollment ID: I20070302000114 |
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