Organization
SUZANNE LAVELLE LLC
Active
Other names
Lakeland Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE LAVELLE PSY.D. (OWNER)
(813) 385-1632
Entity
Organization
Contact information
Practice address
625 COMMERCE DR STE 104, LAKELAND, FL 33813-2733
(863) 732-9300
(863) 732-9303
Mailing address
625 COMMERCE DR STE 104, LAKELAND, FL 33813-2733
(863) 732-9300
(863) 732-9303
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8288
FL
Other
Enumeration date
08/25/2018
Last updated
06/04/2022
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