| Viera Psychological Services Pa | |
|
345 6th Ave Indialantic FL 32903-4301 | |
| (321) 951-2100 | |
| (321) 951-1204 |
| Full Name | Viera Psychological Services Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 345 6th Ave, Indialantic, Florida |
| Authorized Official Name and Position | Jason Wieseler (OWNER) |
| Authorized Official Contact | 3217041135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Viera Psychological Services Pa 345 6th Ave Indialantic FL 32903-4301 Ph: (321) 951-2100 | Viera Psychological Services Pa 345 6th Ave Indialantic FL 32903-4301 Ph: (321) 951-2100 |
| NPI Number | 1306928973 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 03/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306928973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7276 (Florida) | Primary |
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