Provider Demographics
NPI:1295746006
Name:VRECHEK, NANCY MARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:MARIE
Last Name:VRECHEK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 N HIGHWAY A1A STE B106
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-4564
Mailing Address - Country:US
Mailing Address - Phone:561-747-3997
Mailing Address - Fax:561-747-0258
Practice Address - Street 1:725 N HIGHWAY A1A STE B106
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-4564
Practice Address - Country:US
Practice Address - Phone:561-747-3997
Practice Address - Fax:561-747-0258
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0004538103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL73766Medicaid
FL73766Medicare ID - Type UnspecifiedCLINCAL PSYCHOLOGIST