Individual
DR. MICHELLE RENEE CHANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2741 EXECUTIVE PARK DR STE 1, WESTON, FL 33331-3641
(954) 385-6750
(954) 385-6757
Mailing address
2741 EXECUTIVE PARK DR STE 1, WESTON, FL 33331-3641
(954) 385-6750
(954) 385-6757
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 6745
FL
103TC0700X
Clinical Psychologist
PY6745
FL
Other
Enumeration date
09/07/2006
Last updated
09/16/2021
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