| Doctor Name: | MRS. DOLORES MORTIMER |
| NPI Number: | 1144523937 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LHMC, RPTS |
| License Number: | MH 5480 |
| Business Practice Address: | 2030 Main St Dunedin, FL - 346985524 |
| Business Phone Number: | 7277867951 |
| Business Fax Number: | 7277867951 |
| Mailing Address: | 3137 Las Olas Dr, DUNEDIN |
| State: | FL |
| Postal Code: | 346982914 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/16/2010 |
| NPI Last Update Date: | 02/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH 5480 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |