Individual
DR. MICHAEL A. HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
336 GROVE AVE, SUITE B, WINTER PARK, FL 32789-3602
(407) 629-9435
(407) 629-7836
Mailing address
336 GROVE AVE, SUITE B, WINTER PARK, FL 32789-3602
(407) 629-9435
(407) 629-7836
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY 2265
FL
103TC0700X
Clinical Psychologist
Primary
PY 2265
FL
103TC1900X
Counseling Psychologist
PY 2265
FL
Other
Enumeration date
11/07/2006
Last updated
01/06/2009
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