Doctor Name: | MRS. RANDI NICHOLE MUSCARELLA |
NPI Number: | 1275767972 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | |
Business Practice Address: | 665 Se Streamlet Ave Port St Lucie, FL - 349834657 |
Business Phone Number: | 7728736603 |
Business Fax Number: | |
Mailing Address: | 665 Se Streamlet Ave, PORT ST LUCIE |
State: | FL |
Postal Code: | 349834657 |
Phone Number: | 7728736603 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2009 |
NPI Last Update Date: | 05/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |