Organization
MEDICAL PSYCHOLOGY CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE MARIE BILLIOT PSY.D. (PRESIDENT)
(386) 672-9250
Entity
Organization
Contact information
Practice address
570 MEMORIAL CIR, STE 150, ORMOND BEACH, FL 32174-5002
(386) 672-9250
(386) 672-9251
Mailing address
570 MEMORIAL CIR, STE 150, ORMOND BEACH, FL 32174-5002
(386) 672-9250
(386) 672-9251
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7252
FL
Other
Enumeration date
06/29/2007
Last updated
01/16/2009
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