SUNRISE MENTAL HEALTH INC NPI 1508046855

NPI Information

SUNRISE MENTAL HEALTH INC is a prescribing (medical) psychologist in Fort Walton Beach, FL. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. SUNRISE MENTAL HEALTH INC NPI is 1508046855. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

250 BROOKS STREET
SUITE C
FORT WALTON BEACH, FL
ZIP 32548
Phone: (850) 244-9333
Fax: (850) 244-9338

The provider's authorized official is Patricia Johnson .
The authorized official title is Office Manager and has the following contact phone number (850) 244-9333.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 11/14/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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