| Weston Family Psychology | |
|
2883 Executive Park Dr Suite 102 Weston FL 33331-3662 | |
| (954) 384-1117 | |
| (954) 384-1163 |
| Full Name | Weston Family Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 2883 Executive Park Dr, Weston, Florida |
| Authorized Official Name and Position | Evan Adam Mehlman (PRESIDENT) |
| Authorized Official Contact | 9543841117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weston Family Psychology 2883 Executive Park Dr Suite 102 Weston FL 33331-3662 Ph: (954) 384-1117 | Weston Family Psychology 2883 Executive Park Dr Suite 102 Weston FL 33331-3662 Ph: (954) 384-1117 |
| NPI Number | 1346606399 |
|---|---|
| Provider Enumeration Date | 01/06/2016 |
| Last Update Date | 01/06/2016 |
| Medicare PECOS PAC ID | 5395929525 |
|---|---|
| Medicare Enrollment ID | O20240515004306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346606399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7206 (Florida) | Primary |
| Provider Name | Orly Doron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003012717 PECOS PAC ID: 4880779115 Enrollment ID: I20080311000559 |
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