| Wasserman And Drucker Pa | |
|
21301 Powerline Rd Suite 201 Boca Raton FL 33433-2388 | |
| (561) 451-8408 | |
| (561) 451-8655 |
| Full Name | Wasserman And Drucker Pa |
|---|---|
| Speciality | Psychologist |
| Location | 21301 Powerline Rd, Boca Raton, Florida |
| Authorized Official Name and Position | Theodore Wasserman (OWNER PSYCHOLOGIST) |
| Authorized Official Contact | 5614518408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wasserman And Drucker Pa 21301 Powerline Rd Suite 201 Boca Raton FL 33433-2388 Ph: (561) 451-8408 | Wasserman And Drucker Pa 21301 Powerline Rd Suite 201 Boca Raton FL 33433-2388 Ph: (561) 451-8408 |
| NPI Number | 1477769859 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2860628963 |
|---|---|
| Medicare Enrollment ID | O20131120000540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477769859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY - 0003977 (Florida) | Primary |
| 103T00000X | Psychologist | PY - 0003977 (Florida) | Primary |
| Provider Name | Lori Wasserman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114045739 PECOS PAC ID: 8123254232 Enrollment ID: I20131120000678 |
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