Organization
SPACE COAST NEUROPSYCHOLOGY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE SALINAS PSYD (OWNER)
(321) 373-1303
Entity
Organization
Contact information
Practice address
1900 S HARBOR CITY BLVD, MELBOURNE, FL 32901-4749
(321) 373-1303
Mailing address
1900 S HARBOR CITY BLVD, MELBOURNE, FL 32901-4749
(321) 373-1303
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY8636
FL
103TC0700X
Clinical Psychologist
PY8636
FL
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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