| Doctor Name: | MRS. BRENDA JEANNE MICALI |
| NPI Number: | 1275599433 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC, LSP |
| License Number: | SS 510 |
| Business Practice Address: | 323 10th Ave W Suite 303 Palmetto, FL - 342215047 |
| Business Phone Number: | 9417306083 |
| Business Fax Number: | |
| Mailing Address: | 2904 Captains Ct, PALMETTO |
| State: | FL |
| Postal Code: | 342215972 |
| Phone Number: | 9417213722 |
| Fax Number: | 9417217253 |
| NPI Enumeration Date: | 04/25/2006 |
| NPI Last Update Date: | 08/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | SS 510 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |