Organization
KRECER PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASMIN LUGO MORALES PHD (PROGRAM DIRECTOR)
(321) 325-0699
Entity
Organization
Contact information
Practice address
2015 MEADOW POND WAY, ORLANDO, FL 32824-5060
(407) 913-0113
Mailing address
13920 LANDSTAR BLVD # 48, ORLANDO, FL 32824-5524
(321) 325-0699
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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