NPI 1821689985

Elizabeth Inez Shidemantle, BSMSCAC

Practitioner Rehabilitation Counselor Melbourne, FL

Practice location

Address: 1600 Sarno Rd STE 3, Melbourne, FL 32935-4992
Phone: (321) 622-6290
Mailing address: 105 W Seminole Ave APT 1, Melbourne, FL 32901-2933

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X

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Registry record

NPI: 1821689985
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Feb 2021
Record last updated: 1 Feb 2021

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.