| West Boca Psychology Group | |
|
22047 State Rd 7 Boca Raton FL 33428 | |
| (561) 482-8072 | |
| (561) 482-7571 |
| Full Name | West Boca Psychology Group |
|---|---|
| Speciality | Psychologist |
| Location | 22047 State Rd 7, Boca Raton, Florida |
| Authorized Official Name and Position | Marcia B Leder (PRES) |
| Authorized Official Contact | 5614828072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Boca Psychology Group 22047 State Rd 7 Boca Raton FL 33428 Ph: (561) 482-8072 | West Boca Psychology Group 22047 State Rd 7 Boca Raton FL 33428 Ph: (561) 482-8072 |
| NPI Number | 1184640625 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2961480579 |
|---|---|
| Medicare Enrollment ID | O20040710000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184640625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY4123 (Florida) | Primary |
| Provider Name | Marcia B Leder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619966538 PECOS PAC ID: 0941288567 Enrollment ID: I20130513000309 |
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