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Organization

KRISTINA MCMENAMY PSYD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRISTINA ANNE MCMENAMY PSYD (MEMBER)
(772) 607-2293
Entity
Organization

Contact information

Practice address
1845 CYPRESS LAKE DR, GRANT, FL 32949-5330
(772) 607-2293
Mailing address
1845 CYPRESS LAKE DR, GRANT, FL 32949-5330
(772) 607-2293

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7481
FL

Other

Enumeration date
01/30/2009
Last updated
01/30/2009
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