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DR. JAMES M MCGOVERN PSY.D.

Clinical Neuropsychologist

Bradenton, Florida

Provider NPI: 1811982598

Provider Information:
DR. JAMES M MCGOVERN PSY.D.
Gender: M
Sole Proprietor


Practice Location:
1023 MANATEE AVE W STE 302  BRADENTON, FL 34205 US
Tel: (94-1) -405-6413  Fax: 941-216-3323

Business Mailing Address:
1023 MANATEE AVE W STE 302  BRADENTON, FL 34205 US
Tel: 941-405-3614  Fax: 941-216-3323

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
FLPY4238
N103T00000XBehavioral Health & Social Service Providers
Psychologist
FLPY4238
N103TB0200XBehavioral Health & Social Service Providers
Psychologist
FLPY4238
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
FLPY4238
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
FLPY4238
N103TF0200XBehavioral Health & Social Service Providers
Psychologist
FLPY4238
N103TH0100XBehavioral Health & Social Service Providers
Psychologist
FLPY4238
N103TM1800XBehavioral Health & Social Service Providers
Psychologist
FLPY4238
N103TR0400XBehavioral Health & Social Service Providers
Psychologist
FLPY4238

Other Provider Identifiers:

IssuerNumberStateType
RAIL ROAD MEDICARE680010165FL01
BCBS73532FL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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