Healthcare Provider Details

I. General information

NPI: 1427414457
Provider Name (Legal Business Name): MARILYN P. CARD PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2016
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 S HIGHLAND AVE
APOPKA FL
32703-5339
US

IV. Provider business mailing address

1926 BRITTANY LN
APOPKA FL
32703-7678
US

V. Phone/Fax

Practice location:
  • Phone: 689-248-1523
  • Fax: 407-632-4609
Mailing address:
  • Phone: 689-248-1523
  • Fax: 407-632-4609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number16998
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT20-132056
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberSS1197
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: