MEDICARE: EILEEN MESSING PSYD 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	103G00000X	Clinical Neuropsychologist	PY5862	FL
2	103TC0700X	Clinical Psychologist	PY5862	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912132416
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EILEEN MESSING PSYD PA

Provider Business Mailing Address
First Line	:	7499 W ATLANTIC AVE
Second Line	:	SUITE 206
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-1395
Country	:	US
Telephone Number	:	561-499-1919
Fax Number	:	561-208-5722

Provider Business Practice Location Address
First Line	:	7499 W ATLANTIC AVE
Second Line	:	SUITE 206
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-1395
Country	:	US
Telephone Number	:	561-499-1919
Fax Number	:	561-208-5722

Authorized Official
Title or Position	:	LICENSED PSYCHOLOGIST
Name	:	DR. EILEEN ELIZABETH MESSING
Credential	:	PSY.D.
Telephone Number	:	561-499-1919

Provider Enumeration Date	:	05/28/2009
Last Update Date	:	12/22/2011

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Directions to “EILEEN MESSING PSYD PA ” Practice Location

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