Individual
MRS. JULIE ANNA MALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.21501D
Contact information
Practice address
432 TORTOISE VIEW CIRCLE, SATELLITE BEACH, FL 32937-3801
(321) 432-2865
(321) 777-5806
Mailing address
432 TORTOISE VIEW CIR, SATELLITE BEACH, FL 32937-3801
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6653
FL
Other
Enumeration date
04/17/2008
Last updated
10/26/2021
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