Individual
DR. MELISSA FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2737 W FAIRBANKS AVE, WINTER PARK, FL 32789-3314
(407) 740-6838
(407) 740-0902
Mailing address
2737 W FAIRBANKS AVE, WINTER PARK, FL 32789-3314
(407) 740-6838
(407) 740-0902
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY7553
FL
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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