Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | SS958 | FL |
NPI | 1053936849 |
---|---|
Provider Name | Michele Days |
First Address | Port Saint Lucie, FL 34953-6027 |
Second Address | Port Saint Lucie, FL 34953-6027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2020 |
Last Update Date | 08/06/2020 |