Organization
FLORIDA PSYCH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN SCUDDER (NURSE PRACTITIONER)
(239) 478-7984
Entity
Organization
Contact information
Practice address
13436 SW PEMBROKE CIR N, LAKE SUZY, FL 34269-6909
(239) 478-7984
Mailing address
13436 SW PEMBROKE CIR N, LAKE SUZY, FL 34269-6909
(239) 478-7984
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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