Individual
MICHAEL WESTERVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
615 E PRINCETON ST STE 540, ORLANDO, FL 32803-1424
(407) 303-8877
(407) 303-8811
Mailing address
615 E PRINCETON ST STE 540, ORLANDO, FL 32803-1424
(407) 303-8877
(407) 303-8811
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
001601
CT
103G00000X
Clinical Neuropsychologist
Primary
PY7661
FL
103TC0700X
Clinical Psychologist
001601
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004107745
—
CT
01
—
680000093
MEDICARE CT
CT
Enumeration date
12/14/2005
Last updated
06/02/2016
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