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NPI Code Detail

MEDICARE: LAUREN STITZEL PSYD

MEDICARE: LAUREN STITZEL PSYD
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 PsychologistPY10206FL

General Provider Information

NPI Number : 1801643093
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN STITZEL PSYD
Provider Business Mailing Address
First Line : 1073 WILLA SPRINGS DR STE 2013
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-6625
Country : US
Telephone Number : 407-753-7473
Fax Number :
Provider Business Practice Location Address
First Line : 1073 WILLA SPRINGS DR STE 2013
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-6625
Country : US
Telephone Number : 407-753-7473
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2024
Last Update Date : 05/04/2024

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Directions to “ LAUREN STITZEL PSYD” Practice Location

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