Individual
DR. AMY MELISSA MULHOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6150 DIAMOND CENTRE CT UNIT 1003, FORT MYERS, FL 33912-7135
(239) 561-9955
(239) 561-9779
Mailing address
6150 DIAMOND CENTRE CT UNIT 1003, FORT MYERS, FL 33912-7135
(239) 561-9955
(239) 561-9779
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY6605
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54869
BCBS OF FL IND.PROVIDER #
FL
01
—
74976
BCBS OF FL GROUP PRACTICE
FL
Enumeration date
09/29/2006
Last updated
07/08/2007
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