| Peace River Psychology Center Pa | |
|
425 Cross St Ste 111 Punta Gorda FL 33950-4877 | |
| (941) 505-6162 | |
| (941) 505-8604 |
| Full Name | Peace River Psychology Center Pa |
|---|---|
| Speciality | Psychologist |
| Location | 425 Cross St, Punta Gorda, Florida |
| Authorized Official Name and Position | Karin Galliano (OWNER) |
| Authorized Official Contact | 9415056162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace River Psychology Center Pa 425 Cross St Ste 111 Punta Gorda FL 33950-4877 Ph: (941) 505-6162 | Peace River Psychology Center Pa 425 Cross St Ste 111 Punta Gorda FL 33950-4877 Ph: (941) 505-6162 |
| NPI Number | 1003049172 |
|---|---|
| Provider Enumeration Date | 08/24/2009 |
| Last Update Date | 01/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003049172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY6197 (Florida) | Primary |
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