Provider Information for 1629491022
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ROSE TOPAL LMHC
Sex: Female
NPI: 1629491022
Last Updated: 2023-03-24
Certification Date: 2021-05-11
Certification Date: 2021-05-11
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1629491022 | ||||||||||||
| Enumeration Date | 2014-01-22 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 268 BREVARD AVE COCOA, FL 32922-7967 United States Phone: 321-350-8000 | Fax:321-558-7135 | ||||||||||||
| Primary Practice Address | 268 BREVARD AVE COCOA, FL 32922-7967 United States Phone: 321-350-8000 | Fax:321-558-7135 | ||||||||||||
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