Celso, Brian Gerard

Celso, Brian Gerard is an individual health care provider with primary practice located at 1317 Oak St Suite 200, Melbourne FL 32901-3153. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Celso, Brian Gerard can be contacted via phone (321) 434-1401.

Contact Information

Primary practice address
1317 Oak St Suite 200 Melbourne FL 32901-3153
Phone: (321) 434-1401
Fax: (321) 434-8939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY6042 Florida

Profile Details

NPI number 1235102732
LBN Legal business name Celso, Brian Gerard
Credentials PHD.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Apr 27th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235102732 NPPES
Florida MEDICAID 001905600
Florida MEDICAID 268322647A

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