| Treasure Coast Neuropsychology Pa | |
|
10570 S Us Highway 1 Ste 300 Port St Lucie FL 34952-5606 | |
| (772) 278-5508 | |
| (772) 673-6225 |
| Full Name | Treasure Coast Neuropsychology Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 10570 S Us Highway 1 Ste 300, Port St Lucie, Florida |
| Authorized Official Name and Position | Ashley J Tanton (OWNER & CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 7722785508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Coast Neuropsychology Pa 10570 S Us Highway 1 Ste 300 Port St Lucie FL 34952-5606 Ph: (772) 278-5508 | Treasure Coast Neuropsychology Pa 10570 S Us Highway 1 Ste 300 Port St Lucie FL 34952-5606 Ph: (772) 278-5508 |
| NPI Number | 1689454613 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/05/2023 |
| Medicare PECOS PAC ID | 5496103343 |
|---|---|
| Medicare Enrollment ID | O20231204000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689454613 | NPI | - | NPPES |
| Provider Name | Ashley J Tanton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598191801 PECOS PAC ID: 9032567995 Enrollment ID: I20231204000088 |
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