Individual
MS. MICHELLE DIANE DEMYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1065 LEEWAY CT, ORLANDO, FL 32810-4515
(321) 662-2780
(321) 972-4589
Mailing address
1065 LEEWAY CT, ORLANDO, FL 32810-4515
(321) 662-2780
(321) 972-4589
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT1427
FL
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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