Organization Name: | VOLUSIA NEUROPSYCHOLOGY & BEHAVIORAL HEALTH INC |
NPI Number: | 1033313903 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA SUNDVALL MERILSON (PSYCHOLOGIST) |
Mailing Address: | 221 N Causeway Suite B New Smyrna Beach |
State: | FL US |
Postal Code: | 321695298 |
Phone Number: | 3864230442 |
Fax Number: | 3864230402 |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 08/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | PY6889 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |