JUSTIN CONRAD KOENITZER

ROCKLEDGE, FL
NPI1578824421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: FL  PY8536)
Enumeration Date2012-06-06
Last Update Date2012-06-06
Business Address
-- JUSTIN CONRAD KOENITZER PsyD
220 BARTON BLVD UNIT C14
ROCKLEDGE, FL 32955-2742
Phone number: 321-639-5177
Mailing Address
-- JUSTIN CONRAD KOENITZER PsyD
PO BOX 1137
MELBOURNE, FL 32902-1137
Phone number: 321-952-9696
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