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MEGHAN AMBROSE MS, LSP

School >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1134799471

Individual Registrant:
 MEGHAN  AMBROSE MS, LSP
Gender: F
Sole Proprietor

Location and contact information for practice:
171 CANAL BLVD  PONTE VEDRA BEACH, FL 32082-3607 US
Tel: 904-834-7581  Fax: --

Contact information for business:
91 SENTOSA DR UNIT 301  ST JOHNS, FL 32259-9188 US
Tel: --  Fax: --

Registration Information:
NPI: 1134799471
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TS0200XBehavioral Health & Social Service Providers
Psychologist
School
FLSS1593

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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