Neurogenesis Center of Florida, Pllc
NPI #1922474907 in Maitland, Florida
Provider Information
- NPI Number
- 1922474907
- Entity Type
- Organization
- Organization Name
- Neurogenesis Center of Florida, Pllc
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Aug 13, 2015
- Last Updated
- Apr 24, 2021
Practice Location
Authorized Official
- Name
- AMBER L FASULA
- Title
- OWNER
- Phone
- (407) 790-4101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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