Merrilee Johannsen MED, THERAPIST

NPI 1639314289 - Counselor - 101YM0800X

NPI Details
NPI 1639314289
Gender Female
Enumeration Date 12/11/2008
Last Updated 02/23/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
197 BOUGAINVILLEA DR
STE A
ROCKLEDGE FL, 32955-2402, US
Phone (321) 368-1109
Fax
Business Location
200 S BANANA RIVER BLVD
UNIT 1702
COCOA BEACH FL, 32931-5084, US
Phone (321) 368-1109
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Merrilee Johannsen MED, THERAPIST NPI is 1639314289, taxonomy code is 101YM0800X Merrilee Johannsen MED, THERAPIST physically located at 197 Bougainvillea Dr, Rockledge FL, 32955-2402. NPI Number Merrilee Johannsen MED, THERAPIST has the Individual type.

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1639314289 NPI number is provided on an as is basis without warranty of any kind. 1639314289 is maintained by the National Plan & Provider Enumeration System. The contents of Merrilee Johannsen MED, THERAPIST are for informational purposes only.