MEDICARE: WOODLAKE PSYCHOLOGICAL ASSOCIATES, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	PY0003895	FL

General Provider Information

NPI Number	:	1003143447
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODLAKE PSYCHOLOGICAL ASSOCIATES, P.A.

Provider Business Mailing Address
First Line	:	3865 10TH AVE N
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-2853
Country	:	US
Telephone Number	:	561-966-8423
Fax Number	:	561-966-8424

Provider Business Practice Location Address
First Line	:	3865 10TH AVE N
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-2853
Country	:	US
Telephone Number	:	561-966-8423
Fax Number	:	561-966-8424

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. PAUL E BRYAN JR.
Credential	:	PH.D.
Telephone Number	:	561-966-8423

Provider Enumeration Date	:	11/05/2009
Last Update Date	:	11/05/2009

Similar Medicare Providers

1013064237 — PAUL BRYAN PHD
Practice Location Address:

3865 10TH AVE N
PALM SPRINGS, FL
33461-2853

Practice Phone: 561-966-8423
Practice Fax: 561-966-8424

1831132703 — DR. RAUL DIAZ PH.D.
Practice Location Address:

3865 10TH AVE N
LAKE WORTH, FL
33461-2853

Practice Phone: 567-966-8423
Practice Fax: 561-966-8424

1184034803 — FIRST CHOICE COMPANION SERVICES LLC
Practice Location Address:

3891 10TH AVE N
LAKE WORTH, FL
33461-2853

Practice Phone: 561-318-6889
Practice Fax: 561-360-3042

1215157920 — DR. JAMES J MAGUIRE D.AC., L.AC.
Practice Location Address:

2853 FRONT ROYAL DR
COLORADO SPRINGS, CO
80919

Practice Phone: 719-332-4555
Practice Fax:

1023621596 — DR. JASON JOHN BAILEY APRN
Practice Location Address:

2853 HENLEY RD STE 103
GREEN COVE SPRINGS, FL
32043-8616

Practice Phone: 904-602-4510
Practice Fax: 904-602-4519

1730331513 — MELBA COVE
Practice Location Address:

267 MELBA AVE NW
PALM BAY, FL
32907-2853

Practice Phone: 321-327-4942
Practice Fax:

Directions to “WOODLAKE PSYCHOLOGICAL ASSOCIATES, P.A. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.