Organization
GEORGE MEDZERIAN PH.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE MEDZERIAN PH.D. (PSYCHOLOGIST)
(772) 485-0235
Entity
Organization
Contact information
Practice address
428 SW 7TH ST, STUART, FL 34994-2908
(772) 283-0013
(772) 219-4785
Mailing address
428 SW 7TH ST, STUART, FL 34994-2908
(772) 283-0013
(772) 219-4785
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY3086
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089002
VALUE OPTIONS
—
01
—
215000
PHCS
—
01
—
5371572
AETNA
—
01
—
75859
BLUE CROSS BLUE SHIELD
—
01
—
FL2095
BRADMAN
FL
Enumeration date
11/16/2010
Last updated
11/16/2010
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