| Kristina Mcmenamy Psyd Llc | |
|
1845 Cypress Lake Dr Grant FL 32949-5330 | |
| (772) 607-2293 | |
| Not Available |
| Full Name | Kristina Mcmenamy Psyd Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1845 Cypress Lake Dr, Grant, Florida |
| Authorized Official Name and Position | Kristina Anne Mcmenamy (MEMBER) |
| Authorized Official Contact | 7726072293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina Mcmenamy Psyd Llc 1845 Cypress Lake Dr Grant FL 32949-5330 Ph: (772) 607-2293 | Kristina Mcmenamy Psyd Llc 1845 Cypress Lake Dr Grant FL 32949-5330 Ph: (772) 607-2293 |
| NPI Number | 1417195306 |
|---|---|
| Provider Enumeration Date | 01/30/2009 |
| Last Update Date | 01/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417195306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7481 (Florida) | Primary |
Diane M. Walker Psy. D. P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6655 S Us Highway 1, Grant, FL 32949 Phone: 321-693-3325 |