Doctor Name: | DR. MICHELLE C DOLSKE |
NPI Number: | 1518997295 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | PY5341 |
Business Practice Address: | 1685 Lee Rd Suite 200 Winter Park, FL - 327892262 |
Business Phone Number: | 4073037991 |
Business Fax Number: | 4073037803 |
Mailing Address: | 1685 Lee Rd, Suite 200 WINTER PARK |
State: | FL |
Postal Code: | 327892262 |
Phone Number: | 4073037991 |
Fax Number: | 4073037803 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 04/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | PY5341 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |