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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHELLE CHANNING PA

Active Organization

DR. MICHELLE CHANNING PA is a Clinical Psychologist organization located in WESTON, Florida. NPI 1417037102 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · WESTON, FL

Registration Details

NPI Number
1417037102
Provider Type
Organization
NPI Issued
Oct 17, 2006 (19.822404924794 yrs)
Last Updated
Sep 16, 2021
License
PY6745 (FL)

Practice Information

Address
2741 EXECUTIVE PARK DR
SUITE 1
WESTON, FL, 333313641
Browse FL providers · Browse ZIP 33331
Phone
9543856750
Fax
9543856757
Primary Specialty
Clinical Psychologist
103TC0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.