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Organization
TREASURE COAST NEUROPSYCHOLOGY PA
Active
Organization
TREASURE COAST NEUROPSYCHOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY J TANTON PSY.D. (OWNER & CLINICAL NEUROPSYCHOLOGIST)
(772) 278-5508
Entity
Organization
Contact information
Practice address
10570 S US HIGHWAY 1 STE 300, PORT ST LUCIE, FL 34952-5606
(772) 278-5508
(772) 673-6225
Mailing address
10570 S US HIGHWAY 1 STE 300, PORT ST LUCIE, FL 34952-5606
(772) 278-5508
(772) 673-6225
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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