Individual provider · Type 1 NPI

Susan Greenwalt

Mental Health Counselor · Melbourne, FL

NPI number 1104266329 Active

Practice location

4450 W Eau Gallie Blvd Ste 200
Melbourne, FL 32934-7214

Call (321) 722-5200 Map

Mailing address

400 E Sheridan Rd
Melbourne, FL 32901-3122

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104266329

Susan Greenwalt's National Provider Identifier is 1104266329, issued on Jul 2, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Melbourne, FL. The record was last updated on Jul 2, 2013.