Provider Demographics
NPI:1154383214
Name:MAC PHERSON, JOANNE CHRISTINE (LMHC)
Entity type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:CHRISTINE
Last Name:MAC PHERSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9123 BAY HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-4802
Mailing Address - Country:US
Mailing Address - Phone:407-876-4991
Mailing Address - Fax:407-876-5273
Practice Address - Street 1:9123 BAY HILL BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-4802
Practice Address - Country:US
Practice Address - Phone:407-876-4991
Practice Address - Fax:407-876-5273
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3582174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist