Organization
COMMUNITY PSYCHOLOGICAL SERVICES
Active
Organization
COMMUNITY PSYCHOLOGICAL SERVICES
Active
Parent organization
FLORIDA INSTITUTE OF TECHNOLOGY
Other names
Non Profit
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA INSTITUTE OF TECHNOLOGY
Authorized official
DR. BARBARA MICHELE PAWLILLO PSYD (DIRECTOR LICENSED PSYCHOLOGIST)
(321) 727-9956
Entity
Organization
Contact information
Practice address
150 W UNIVERSITY BLVD, BUILDING 265, MELBOURNE, FL 32901-6975
(321) 727-9956
(321) 726-6727
Mailing address
150 W UNIVERSITY BLVD, BUILDING 265, MELBOURNE, FL 32901-6975
(321) 727-9956
(321) 726-6727
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P43748
FL
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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