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Organization

NANCY MARIE VRECHEK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NANCY MARIE VRECHEK PH.D. (CLINICAL PSYCHOLOGIST)
(561) 747-3997
Entity
Organization

Contact information

Practice address
125 W INDIANTOWN RD, STE 203A, JUPITER, FL 33458-3556
(561) 747-3997
(561) 747-0258
Mailing address
125 W INDIANTOWN RD, STE 203A, JUPITER, FL 33458-3556
(561) 747-3997
(561) 747-0258

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PY4538
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
73766
MEDICARE
FL
01
PY4538
FLORIDA LICENSE
FL
Enumeration date
05/18/2014
Last updated
05/18/2014
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