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THE MEMORY DOCTOR, LLC

Clinical Neuropsychologist

Leesburg, Florida

Provider NPI: 1265434534

Organization Information:
Organization Name:  THE MEMORY DOCTOR, LLC
Organization is not Subpart
Authorized Official:  BRENDA  MASON  OFFICE MANAGER  352-5302170

Practice Location:
26540 ACE AVE STE E-106  LEESBURG, FL 34748 US
Tel: 352-530-2170  Fax: 352-530-2180

Business Mailing Address:
221 N HIGHWAY 27 UNIT G CLERMONT, FL 34711 US
Tel: 352-243-5901  Fax: 352-243-4187

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
FLPY6497
N103T00000XBehavioral Health & Social Service Providers
Psychologist
FLPY6497









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