Mortensen, Margaret R
Mortensen, Margaret R is an sole proprietor health care provider with primary practice located at 2401 W Eau Gallie Blvd Suite 1, Melbourne FL 32935-2765. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mortensen, Margaret R can be contacted via phone (321) 327-5952.Contact Information
Primary practice address
2401 W Eau Gallie Blvd Suite 1
Melbourne FL 32935-2765
Phone: (321) 327-5952
Fax: (321) 327-5954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY4165 | Florida |
Profile Details
| NPI number | 1538179692 |
|---|---|
| LBN Legal business name | Mortensen, Margaret R |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Nov 10th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538179692 | NPPES |
| Other | 090953 | VALUE OPTIONS |
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