Individual
JUDITH FAITH LEGAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., ED.D.
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(321) 397-6159
Mailing address
810 POINT PLEASANT PL, ALTAMONTE SPRINGS, FL 32701-6218
(407) 595-5176
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 8889
FL
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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