Provider Demographics
NPI:1992943641
Name:SEMICH, ANN MARIE (PHD, LMHC)
Entity type:Individual
Prefix:DR
First Name:ANN MARIE
Middle Name:
Last Name:SEMICH
Suffix:
Gender:F
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1132 W INDIANTOWN RD # 202
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-3928
Mailing Address - Country:US
Mailing Address - Phone:561-310-7947
Mailing Address - Fax:
Practice Address - Street 1:1132 W INDIANTOWN RD # 202
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3928
Practice Address - Country:US
Practice Address - Phone:561-310-7947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-02
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9441101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health