Viera Psychological Services Pa | |
345 6th Ave Indialantic FL 32903-4301 | |
(321) 951-2100 | |
(321) 951-1204 |
Full Name | Viera Psychological Services Pa |
---|---|
Speciality | Psychologist - Clinical |
Location | 345 6th Ave, Indialantic, Florida |
Authorized Official Name and Position | Jason Wieseler (OWNER) |
Authorized Official Contact | 3217041135 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Viera Psychological Services Pa 345 6th Ave Indialantic FL 32903-4301 Ph: (321) 951-2100 | Viera Psychological Services Pa 345 6th Ave Indialantic FL 32903-4301 Ph: (321) 951-2100 |
NPI Number | 1306928973 |
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Provider Enumeration Date | 10/20/2006 |
Last Update Date | 03/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306928973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY7276 (Florida) | Primary |
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