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NPI Code Detail

MEDICARE: GOOD MOOD PSYCHOLOGY INC.

MEDICARE: GOOD MOOD PSYCHOLOGY INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist

General Provider Information

NPI Number : 1700598596
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOOD MOOD PSYCHOLOGY INC.
Provider Business Mailing Address
First Line : 6155 57TH CT
Second Line :
City : VERO BEACH
State : FL
Zip : 32967-5399
Country : US
Telephone Number : 954-242-0047
Fax Number :
Provider Business Practice Location Address
First Line : 6155 57TH CT
Second Line :
City : VERO BEACH
State : FL
Zip : 32967-5399
Country : US
Telephone Number : 954-242-0047
Fax Number :
Authorized Official
Title or Position : DOCTOR
Name : ORLY ERNESTINA BELDNER-BELTEU
Credential : PSY.D
Telephone Number : 954-242-0047
Provider Enumeration Date : 12/23/2022
Last Update Date : 08/03/2023

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Directions to “GOOD MOOD PSYCHOLOGY INC. ” Practice Location

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