Organization
BEHAVIORAL HEALTH ASSESSMENTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA DENISE GREEN PH.D. (SECRETARY)
(407) 365-2599
Entity
Organization
Contact information
Practice address
11325 LAKE UNDERHILL RD, SUITE 101, ORLANDO, FL 32825-5090
(407) 365-2599
(407) 365-3132
Mailing address
PO BOX 5377, WINTER PARK, FL 32793-5377
(407) 365-2599
(407) 365-3132
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY2246
FL
103TC0700X
Clinical Psychologist
Primary
PY2246
FL
103TH0004X
Health Psychologist
PY2246
FL
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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