PSYCHOLOGY ASSOCIATES OF BREVARD PLC
Social Work at Wickham Rd, Melbourne, FL

License number
Florida MH3865
Category
Mental Health
Type
Mental Health
License number
Florida MH5001
Category
Mental Health
Type
Mental Health
License number
Florida PY7627
Category
Social Work
Type
Clinical Neuropsychologist
License number
Florida PY2592
Category
Social Work
Type
Clinical
License number
Florida PY4859
Category
Social Work
Type
Clinical
Owner
Name: PATTY HELLER
Title: OFFICE MANAGER
Phone: (321) 751-1925
Address
Address
6767 N Wickham Rd SUITE 306, Melbourne, FL 32940
National Provider ID: 1922200278
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PSYCHOLOGY ASSOCIATES OF BREVARD PLC at bizstanding.com

PSYCHOLOGY ASSOCIATES OF BREVARD, PLC

6767 N Wickham Rd SUITE 306, Melbourne, FL 32940

Inactive reason:
Conversion
Registration:
Oct 19, 2011
Inactive since:
Oct 19, 2011
State ID:
L11000120025
Business type:
Florida Limited Liability Company
Managing Members:
Robert Jph.d Shapiro (Managing Member), 6767 N Wickman Rd SUITE 306, Melbourne, FL 32940 (Physical),Kristopher Ph.d Olsen (Managing Member), 6767 N Wickman Rd SUITE 306, Melbourne, FL 32940 (Physical)
Agent:
Robert Shapiro,6767 Wickham Rd SUITE 306, Melbourne, FL 32940 (Physical)
EIN:
59-3419280

Social Work licenses in Florida










Other General Professional services licenses in Florida