Organization
LDR COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA D RASMUSSEN PSYD (LICENSED PSYCHOLOGIST)
(407) 803-3758
Entity
Organization
Contact information
Practice address
1215 LOUISIANA AVE, SUITE 100, WINTER PARK, FL 32789-2344
(407) 622-0825
(407) 622-0826
Mailing address
1215 LOUISIANA AVE, SUITE 100, WINTER PARK, FL 32789-2344
(407) 622-0825
(407) 622-0826
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7412
FL
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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