| Michael Dibernardo Therapy Solutions Llc | |
|
801 Rue Saint Francois St Ste D Florissant MO 63031-4948 | |
| (314) 219-8883 | |
| Not Available |
| Full Name | Michael Dibernardo Therapy Solutions Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 Rue Saint Francois St Ste D, Florissant, Missouri |
| Authorized Official Name and Position | Michael Dibernardo (SOLE OWNER) |
| Authorized Official Contact | 3142198883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Dibernardo Therapy Solutions Llc 1480 Saint Catherine St Florissant MO 63033-3410 Ph: (425) 791-2550 | Michael Dibernardo Therapy Solutions Llc 801 Rue Saint Francois St Ste D Florissant MO 63031-4948 Ph: (314) 219-8883 |
| NPI Number | 1558912246 |
|---|---|
| Provider Enumeration Date | 09/24/2019 |
| Last Update Date | 09/24/2019 |
| Medicare PECOS PAC ID | 7315279155 |
|---|---|
| Medicare Enrollment ID | O20191029001751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558912246 | NPI | - | NPPES |
| 490042224 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Michael J Dibernardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568814044 PECOS PAC ID: 7416282561 Enrollment ID: I20190711000526 |
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