Organization
MY PSY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA SUSANNE FLEITAS PHD (PSYCHOLOGIST)
(334) 297-4418
Entity
Organization
Contact information
Practice address
1200 14TH ST, SUITE A, PHENIX CITY, AL 36867-4907
(334) 297-4418
Mailing address
1200 14TH ST, SUITE A, PHENIX CITY, AL 36867-4907
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
748
AL
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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