Organization
LIVE OAK BEHAVIORAL HEALTH PA
Active
Other names
Live Oak Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL PAULSON PHD (CO-OWNER)
(407) 756-2084
Entity
Organization
Contact information
Practice address
341 N MAITLAND AVE STE 120, MAITLAND, FL 32751-4761
(407) 756-2084
(866) 495-2994
Mailing address
341 N MAITLAND AVE STE 120, MAITLAND, FL 32751-4761
(407) 756-2084
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PY9901
FL
Other
Enumeration date
02/28/2018
Last updated
10/05/2020
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