Provider Demographics
NPI:1740489368
Name:NEW OBJECTIVES PSYCHOLOGY, COUNSELING & NEUROFEEDBACK CENTER
Entity type:Organization
Organization Name:NEW OBJECTIVES PSYCHOLOGY, COUNSELING & NEUROFEEDBACK CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:R
Authorized Official - Last Name:THETFORD
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:407-339-1159
Mailing Address - Street 1:620 CROWN OAK CENTRE DR
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-6188
Mailing Address - Country:US
Mailing Address - Phone:407-339-1159
Mailing Address - Fax:407-339-2405
Practice Address - Street 1:620 CROWN OAK CENTRE DR
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-6188
Practice Address - Country:US
Practice Address - Phone:407-339-1159
Practice Address - Fax:407-339-2405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty