| Ultimate Thinking Psychological Consultants, Pa | |
|
100 E Granada Blvd Ste 219d Ormond Beach FL 32176-6660 | |
| (386) 243-5228 | |
| (877) 601-7246 |
| Full Name | Ultimate Thinking Psychological Consultants, Pa |
|---|---|
| Speciality | Psychologist |
| Location | 100 E Granada Blvd Ste 219d, Ormond Beach, Florida |
| Authorized Official Name and Position | Xuan Stevens (PRESIDENT) |
| Authorized Official Contact | 3862435228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultimate Thinking Psychological Consultants, Pa Po Box 291725 Port Orange FL 32129-1725 Ph: (386) 243-5228 | Ultimate Thinking Psychological Consultants, Pa 100 E Granada Blvd Ste 219d Ormond Beach FL 32176-6660 Ph: (386) 243-5228 |
| NPI Number | 1760718910 |
|---|---|
| Provider Enumeration Date | 10/22/2009 |
| Last Update Date | 08/05/2022 |
| Certification Date | 08/05/2022 |
| Medicare PECOS PAC ID | 5193853406 |
|---|---|
| Medicare Enrollment ID | O20100506000902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760718910 | NPI | - | NPPES |
| Provider Name | Xuan O Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881920031 PECOS PAC ID: 1153457098 Enrollment ID: I20131211001829 |
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