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Organization

LAVIN PSYCHOLOGY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA LAVIN PSYD (CLINICAL PSYCHOLOGIST)
(603) 545-8355
Entity
Organization

Contact information

Practice address
3333 CLARK RD STE 110, SARASOTA, FL 34231-8437
(858) 859-0822
(941) 924-7546
Mailing address
3333 CLARK RD STE 110, SARASOTA, FL 34231-8437
(858) 859-0822
(941) 924-7546

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1359
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10924
STATE OF FL DEPT. OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
01
1359
NH LICENSE BOARD FOR PSYCHOLOGIST
NH
Enumeration date
09/21/2017
Last updated
10/04/2023
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