| Moonflower & Morning Glory, Inc | |
|
1609 N Federal Hwy Lake Worth FL 33460-6644 | |
| (561) 582-3459 | |
| Not Available |
| Full Name | Moonflower & Morning Glory, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1609 N Federal Hwy, Lake Worth, Florida |
| Authorized Official Name and Position | Sue Babcock (OWNER) |
| Authorized Official Contact | 6512958333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonflower & Morning Glory, Inc 1609 N Federal Hwy Lake Worth FL 33460-6644 Ph: (561) 582-3459 | Moonflower & Morning Glory, Inc 1609 N Federal Hwy Lake Worth FL 33460-6644 Ph: (561) 582-3459 |
| NPI Number | 1124422647 |
|---|---|
| Provider Enumeration Date | 10/13/2014 |
| Last Update Date | 11/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124422647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY8414 (Florida) | Primary |
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