Individual
MICHAELANNE MARIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1848 SE 1ST AVE, FORT LAUDERDALE, FL 33316-2875
(954) 885-9500
(954) 885-9444
Mailing address
1848 SE 1ST AVE, FORT LAUDERDALE, FL 33316-2875
(954) 885-9500
(954) 885-9444
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6353
FL
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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