Organization
PSY-CREST PSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SANDERS (OPERATIONS OFFICER)
(850) 346-1634
Entity
Organization
Contact information
Practice address
4213 SUMMIT CREEK BLVD APT 7107, ORLANDO, FL 32837-4503
(850) 346-1634
Mailing address
4213 SUMMIT CREEK BLVD APT 7107, ORLANDO, FL 32837-4503
(850) 346-1634
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8870
FL
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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