Organization
PSYCHOLOGICAL SERVICES FOR ASSESSMENT AND DIAGNOSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A ELISE CONROY KEGLEY PHD (PSYCHOLOGIST)
(352) 279-0997
Entity
Organization
Contact information
Practice address
135 NORTH AVE W, BROOKSVILLE, FL 34601-1027
(352) 279-0997
Mailing address
135 NORTH AVE W, BROOKSVILLE, FL 34601-1027
(352) 279-0997
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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