Organization
FLORIDA PSYCHOLOGICAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN MATTHEW SLOMAN PHD (EXECUTIVE DIRECTOR)
(321) 345-0579
Entity
Organization
Contact information
Practice address
100 RIALTO PL STE 718, MELBOURNE, FL 32901-3002
(321) 345-0579
(321) 360-7416
Mailing address
100 RIALTO PL STE 718, MELBOURNE, FL 32901-3002
(321) 345-0579
(321) 360-7416
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
04/12/2019
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