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Search › Florida › 103TC0700X

Justin Koenitzer, PSYD

NPI 1578824421 · on the registry since 2012

Practice

Address
220 Barton Blvd
Unit C14
Rockledge, FL 32955
Phone
(321) 639-5177
Fax
(321) 639-4927
Organisation at this address
Brevard Health Alliance Inc
Brevard Health Alliance Inc
Brevard Health Alliance Inc
Brevard Health Alliance Inc
Brevard Health Alliance Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
41

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-06-06

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