MEDICARE: CME PSYCHOLOGY CONSULTANTS PA

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	103TC0700X	Clinical Psychologist	PY0003605	FL

General Provider Information

NPI Number	:	1093852527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CME PSYCHOLOGY CONSULTANTS PA

Provider Business Mailing Address
First Line	:	2100 LAKE IDA RD
Second Line	:	SUITE 4
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-2442
Country	:	US
Telephone Number	:	561-266-0069
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 LAKE IDA RD
Second Line	:	SUITE 4
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-2442
Country	:	US
Telephone Number	:	561-266-0069
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KAREN R RAPAPORT
Credential	:	PH.D.
Telephone Number	:	561-266-0069

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	08/22/2020

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