Lisa Sundvall Merilson in New Smyrna Beach - Clinical Neuropsychologist

Lisa Sundvall Merilson - NPI 1932140175

Lisa Sundvall Merilson is a Clinical Neuropsychologist in New Smyrna Beach, Florida. Lisa Sundvall Merilson practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Lisa Sundvall Merilson is 1932140175. The last update date is 2007-07-08.

Lisa Sundvall Merilson's current location address is 221 N Causeway, New Smyrna Beach, Florida. You can contact this provider via phone number 3864230442 and fax number 3864230402. The mailing address for Lisa Sundvall Merilson is 221 N Causeway, New Smyrna Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Sundvall Merilson
Address 221 N Causeway, New Smyrna Beach, Florida
Phone Number 3864230442
Fax Number 3864230402
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1932140175
Provider Enumeration Date 2006-06-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 221 N Causeway
City New Smyrna Beach
State Florida (FL)
Post Code 321695298
Phone Number 3864230442
Fax Number 3864230402

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No PY 6889
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
74094 FL BLUE CROSS BLUE SHIELD
7280563 FL AETNA
1416 FL DISABILITY DETERMINATIONS

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FAQs about Lisa Sundvall Merilson

What is the unique 10-digit identifier code assigned to Lisa Sundvall Merilson by the Centers for Medicare & Medicaid Services?

The Lisa Sundvall Merilson has been issued the NPI (National Provider Identifier) 1932140175 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Lisa Sundvall Merilson is physically located?

The Lisa Sundvall Merilson is situated at the following address: 221 N Causeway, New Smyrna Beach, FL 321695298.

What is Lisa Sundvall Merilson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Lisa Sundvall Merilson is Clinical Neuropsychologist, and the taxonomy code that classifies this field of practice is 103G00000X.

On what date was the 1932140175 assigned to Lisa Sundvall Merilson?

The Lisa Sundvall Merilson was issued its 1932140175 on 2006-06-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Lisa Sundvall Merilson's details last updated?

The information pertaining to the Lisa Sundvall Merilson, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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