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Organization

PSYCHOLOGY ASSOCIATES OF BREVARD PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATTY HELLER (OFFICE MANAGER)
(321) 751-1925
Entity
Organization

Contact information

Practice address
6767 N WICKHAM RD, SUITE 306, MELBOURNE, FL 32940-2031
(321) 751-1925
(321) 751-9261
Mailing address
6767 N WICKHAM RD, SUITE 306, MELBOURNE, FL 32940-2031
(321) 751-1925
(321) 751-9261

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH3865
FL
101YM0800X
Mental Health Counselor
MH5001
FL
103G00000X
Clinical Neuropsychologist
PY7627
FL
103TC0700X
Clinical Psychologist
Primary
PY2592
FL
103TC0700X
Clinical Psychologist
PY4859
FL
2084P0800X
Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
ME79036
FL

Other

Enumeration date
05/31/2007
Last updated
03/07/2012
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