Organization
LAURA MAGNESS PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MAGNESS (MGRM)
(608) 609-2584
Entity
Organization
Contact information
Practice address
300 S SYKES CREEK PKWY, UNIT 801, MERRITT ISLAND, FL 32952-3313
(608) 609-2584
Mailing address
300 S SYKES CREEK PKWY, UNIT 801, MERRITT ISLAND, FL 32952-3313
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 8597
FL
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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