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NPI Code Detail

MEDICARE: DR. MYRIAM GLEMAUD PSYD

MEDICARE: DR. MYRIAM GLEMAUD 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
11041C0700XClinical Social WorkerSW7903FL
2103TC0700XClinical PsychologistPY8358FL

General Provider Information

NPI Number : 1962627950
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MYRIAM GLEMAUD PSYD
Provider Business Mailing Address
First Line : 1035 S STATE ROAD 7
Second Line : SUITE 315-12
City : WELLINGTON
State : FL
Zip : 33414-6134
Country : US
Telephone Number : 561-774-1998
Fax Number :
Provider Business Practice Location Address
First Line : 2330 S CONGRESS AVE
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33406-7608
Country : US
Telephone Number : 561-432-5849
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 12/09/2020

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