Individual
DR. BRITTA BOEKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD LLC
Contact information
Practice address
870 CLARK ST STE 1030, OVIEDO, FL 32765-9270
(407) 494-9436
(407) 369-4193
Mailing address
335 N MAGNOLIA AVE, APT 507, ORLANDO, FL 32801
(952) 412-6824
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
PY9678
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-0819699
IRS
—
Enumeration date
08/19/2014
Last updated
04/12/2018
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