| Villar Neuropsychology, Llc | |
|
1301 S International Pkwy Suite 2021 Lake Mary FL 32746-1409 | |
| (407) 906-8843 | |
| Not Available |
| Full Name | Villar Neuropsychology, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1301 S International Pkwy, Lake Mary, Florida |
| Authorized Official Name and Position | Rebecca C. Villar (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 4079068843 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Villar Neuropsychology, Llc Po Box 941652 Maitland FL 32794-1652 Ph: () - | Villar Neuropsychology, Llc 1301 S International Pkwy Suite 2021 Lake Mary FL 32746-1409 Ph: (407) 906-8843 |
| NPI Number | 1306239553 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 03/12/2015 |
| Medicare PECOS PAC ID | 8729396999 |
|---|---|
| Medicare Enrollment ID | O20151008000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306239553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY8696 (Florida) | Primary |
| Provider Name | Rebecca C Villar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174862882 PECOS PAC ID: 1951555226 Enrollment ID: I20130214000237 |
| Provider Name | Kristin Lynn Mickel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952703167 PECOS PAC ID: 4385866342 Enrollment ID: I20141107000903 |
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