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Contact Information

CATALYST FOR CHANGE LLC
2101 PARK CENTER DRIVE
SUITE 270
ORLANDO, FL32835
 Phone: 407-523-1213
 Fax: 407-523-2398
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CATALYST FOR CHANGE LLC · (Female)

NPI # 1093892671
Status Active
Credentials
Entity Individual
Enumeration date 11/01/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # PY5826
  • FL Other 51415 BCBS
  • FL Other 21491 BCBS GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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