Individual
BEREDYNE MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2413 SE STONECROP ST, PORT ST LUCIE, FL 34984-5280
(772) 361-4698
Mailing address
2413 SE STONECROP ST, PORT SAINT LUCIE, FL 34984-5280
(772) 361-4698
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
251C00000X
FL
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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