Organization
PSYCHOLOGICAL AFFILIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN M CROUGHN (OFFICE MANAGER)
(407) 740-6838
Entity
Organization
Contact information
Practice address
2737 W FAIRBANKS AVE, WINTER PARK, FL 32789-3314
(407) 740-6838
(407) 740-0902
Mailing address
2737 W FAIRBANKS AVE, WINTER PARK, FL 32789-3314
(407) 740-6838
(407) 740-0902
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY3963
FL
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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