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Individual

DR. ELIZABETH ERIN DEPELTEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1335 VALENTINE ST, MELBOURNE, FL 32901-3127
(321) 586-5444
(321) 319-9712
Mailing address
1335 VALENTINE ST, MELBOURNE, FL 32901-3127
(321) 586-5444
(321) 319-9712

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC1900X
Counseling Psychologist
Primary
PY7694
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002984900
FL
01
74442
BCBSFL
FL
Enumeration date
03/23/2007
Last updated
05/26/2022
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