Doctor Name: | MS. REBECCA LYNN MOONEYHAN |
NPI Number: | 1265759336 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.HDL., CAS |
License Number: | 139 |
Business Practice Address: | 2000 S Mills Ave Orlando, FL - 328064151 |
Business Phone Number: | 4078937237 |
Business Fax Number: | 4078937221 |
Mailing Address: | 2000 S Mills Ave, ORLANDO |
State: | FL |
Postal Code: | 328064151 |
Phone Number: | 4078937237 |
Fax Number: | 4078937221 |
NPI Enumeration Date: | 04/28/2010 |
NPI Last Update Date: | 05/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 139 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |