Viera Psychological Services Pa in Indialantic - Clinical

Viera Psychological Services Pa - NPI 1306928973

Viera Psychological Services Pa is a Clinical in Indialantic, Florida. Viera Psychological Services Pa practices all healthcare services and medical treatments related to Clinical. The NPI Number for Viera Psychological Services Pa is 1306928973. The last update date is 2010-03-23.

Viera Psychological Services Pa's current location address is 345 6th Ave, Indialantic, Florida. You can contact this provider via phone number 3219512100 and fax number 3219511204. The mailing address for Viera Psychological Services Pa is 345 6th Ave, Indialantic, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Viera Psychological Services Pa
Address 345 6th Ave, Indialantic, Florida
Phone Number 3219512100
Fax Number 3219511204
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Wieseler Jason
Credentials PSY.D.
Telephone Number 3217041135

NPI Number Detail

NPI Number 1306928973
Provider Enumeration Date 2006-10-20
Last Updated Date 2010-03-23

Provider Mailing Address Detail

Address 345 6th Ave
City Indialantic
State Florida (FL)
Post Code 329034301
Phone Number 3219512100
Fax Number 3219511204

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PY7276
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about Viera Psychological Services Pa

What is the unique identifier code issued to Viera Psychological Services Pa by the Centers for Medicare & Medicaid Services?

The Viera Psychological Services Pa has been assigned the NPI (National Provider Identifier) 1306928973. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Viera Psychological Services Pa is geographically located?

The Viera Psychological Services Pa is physically situated at the following location: 345 6Th Ave, Indialantic, FL, 329034301.

What is Viera Psychological Services Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Viera Psychological Services Pa's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.

On what date did the Viera Psychological Services Pa receive its 1306928973 assignment from the Centers for Medicare & Medicaid Services?

The Viera Psychological Services Pa was assigned its 1306928973 by the Centers for Medicare & Medicaid Services on 2006-10-20.

As of what date was the information pertaining to Viera Psychological Services Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Viera Psychological Services Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-03-23.

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