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NPI Code Detail

MEDICARE: PATRICIA JAEGERMAN, PSY.D.

MEDICARE: PATRICIA JAEGERMAN, PSY.D.
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1861803363
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATRICIA JAEGERMAN, PSY.D.
Provider Business Mailing Address
First Line : 2450 HOLLYWOOD BLVD
Second Line : SUITE 200A
City : HOLLYWOOD
State : FL
Zip : 33020-6619
Country : US
Telephone Number : 954-325-4853
Fax Number :
Provider Business Practice Location Address
First Line : 2450 HOLLYWOOD BLVD
Second Line : SUITE 200A
City : HOLLYWOOD
State : FL
Zip : 33020-6619
Country : US
Telephone Number : 954-325-4853
Fax Number :
Authorized Official
Title or Position : BILLING ADMINISRATOR
Name : MARIA CUEVAS
Credential :
Telephone Number : 305-675-9200
Provider Enumeration Date : 05/19/2014
Last Update Date : 05/19/2014

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Directions to “PATRICIA JAEGERMAN, PSY.D. ” Practice Location

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