Healthcare Provider Details

I. General information

NPI: 1649189838
Provider Name (Legal Business Name): MOOYOUNG PSYCHOLOGICAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

467 LAKE HOWELL RD STE 207
MAITLAND FL
32751-5922
US

IV. Provider business mailing address

931 N STATE ROAD 434 STE 1201-128
ALTAMONTE SPRINGS FL
32714-7022
US

V. Phone/Fax

Practice location:
  • Phone: 407-536-7250
  • Fax:
Mailing address:
  • Phone: 407-536-7250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ROBYN MOOYOUNG
Title or Position: LICENSED PSYCHOLOGIST, OWNER
Credential: PSY.D.
Phone: 407-533-3516