Individual
MEGHAN AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LSP
Contact information
Practice address
303 VISTA LAGOON CT UNIT C-1, PONTE VEDRA BEACH, FL 32082-5602
(858) 717-4803
Mailing address
303 VISTA LAGOON CT UNIT C-1, PONTE VEDRA BEACH, FL 32082-5602
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS1593
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110971200
—
FL
Enumeration date
06/29/2021
Last updated
03/28/2024
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