Organization
SEASIDE PSYCHOLOGY SERVICES, INC
Active
Organization
SEASIDE PSYCHOLOGY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN ELIZABETH BROGAN PSY.D. (PRESIDENT)
(352) 255-5023
Entity
Organization
Contact information
Practice address
2837 MAYFLOWER LOOP, CLERMONT, FL 34714-5071
(352) 255-5023
Mailing address
2837 MAYFLOWER LOOP, CLERMONT, FL 34714-5071
(352) 255-5023
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY7782
FL
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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