Organization
PSYCHOLOGICAL CENTER
Active
Organization
PSYCHOLOGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GERI SIDDELL (OFFICE MANAGER)
(229) 226-0741
Entity
Organization
Contact information
Practice address
8819 MINNOW CREEK DR, TALLAHASSEE, FL 32312
(201) 484-9383
Mailing address
8819 MINNOW CREEK DR, TALLAHASSEE, FL 32312
(201) 484-9383
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY9289
FL
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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