Individual
CATHERINE ROSE MICHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
235 CARMEL DR, FORT WALTON BEACH, FL 32547-1957
(850) 862-3141
(850) 862-7732
Mailing address
235 CARMEL DR, FORT WALTON BEACH, FL 32547-1957
(850) 862-3141
(850) 862-7732
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54837
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/19/2006
Last updated
07/08/2007
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