Organization
THERAPY CENTER OF BREVARD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAYA SOYA PSY.D. (LICENSED PSYCHOLOGIST)
(321) 328-7692
Entity
Organization
Contact information
Practice address
380 NEWPORT DR, INDIALANTIC, FL 32903-4021
(321) 722-9986
Mailing address
870 N MIRAMAR AVE # 345, INDIALANTIC, FL 32903-3054
(321) 722-9986
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8406
FL
Other
Enumeration date
11/04/2011
Last updated
08/03/2021
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