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Search › Florida › 101YM0800X

Susan Tully, MA,LMHC

NPI 1568524999 · on the registry since 2006

Practice

Address
3040 N Wickham Rd
Suite 10
Melbourne, FL 32935
Phone
(321) 751-7000
Fax
(321) 751-7055
Organisation at this address
Primomd, Llc
Diana G. Masker, M.A., Ccc
Spartan Health Alliance Llc
Rehab Specialists East Coast
Etheridge Family Counseling, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
38

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida