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Individual

DR. PARKER LEE MOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
310 S. DILLARD STREET, SUITE 190, WINTER GARDEN, FL 34787
(407) 347-0661
(407) 347-0664
Mailing address
310 S. DILLARD STREET, SUITE 190, WINTER GARDEN, FL 34787
(407) 347-0661
(407) 347-0664

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY8941
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY8941
FL
103TC0700X
Clinical Psychologist
Primary
PY8941
FL
103TC1900X
Counseling Psychologist
PY8941
FL

Other

Enumeration date
12/30/2013
Last updated
10/02/2015
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