NPI 1063697779

Melissa Fogle, PSYD

Practitioner Clinical Neuropsychologist Winter Park, FL

Practice location

Address: 2737 W Fairbanks Ave, Winter Park, FL 32789-3314
Phone: (407) 740-6838
Fax: (407) 740-0902

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PY7553 (FL)

Other Clinical Neuropsychologist providers in Florida →

Registry record

NPI: 1063697779
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jan 2008
Record last updated: 2 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.