Individual provider · Type 1 NPI

Mary Charbonneau, PSYD

Psychologist · West Melbourne, FL

NPI number 1174617617 Active

Practice location

2020 Commerce Dr
West Melbourne, FL 32904

Call (321) 952-6000 Map

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPY0007324 (FL)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1174617617

Mary Charbonneau, PSYD's National Provider Identifier is 1174617617, issued on Oct 2, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in West Melbourne, FL. The record was last updated on Jul 8, 2007.