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Physician Compare National (NPI:1235204454)

HEALTHCARE PROVIDER: JOAN TORGERSEN MAGILL PSYD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1235204454
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9931090602
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110617000583
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MAGILL
Individual professional last name
Provider First Name JOAN
Individual professional first name
Provider Middle Name TORGERSEN
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1994
Individual professional's medical school graduation year
Primary Specialty PSYCHOLOGIST, CLINICAL
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 851 BROKEN SOUND PKWY NW
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 250
Group Practice or individual's line 2 address
City BOCA RATON
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 334873640
Group Practice or individual's zip code (9 digits when available)
Phone Number 5619818802
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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