Neuropsych Wellness Llc | |
110 E Broward Blvd Ste 1700 Fort Lauderdale FL 33301-3500 | |
(917) 626-6017 | |
Not Available |
Full Name | Neuropsych Wellness Llc |
---|---|
Speciality | Clinical Neuropsychologist |
Location | 110 E Broward Blvd Ste 1700, Fort Lauderdale, Florida |
Authorized Official Name and Position | Theodoros Tsaousides (NEUROPSYCHOLOGIST) |
Authorized Official Contact | 9176266017 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Neuropsych Wellness Llc 110 E Broward Blvd Ste 1700 Fort Lauderdale FL 33301-3500 Ph: (917) 626-6017 | Neuropsych Wellness Llc 110 E Broward Blvd Ste 1700 Fort Lauderdale FL 33301-3500 Ph: (917) 626-6017 |
NPI Number | 1740914159 |
---|---|
Provider Enumeration Date | 07/12/2022 |
Last Update Date | 07/12/2022 |
Certification Date | 06/29/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740914159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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