Isabelle B. King, B.S, M.ED, PH.D.
Individual provider Active NPI Clinical Psychologist · Ormond Beach, FL
NPI 1114211802 · NPPES record last updated Mar 22, 2013
Key facts
- NPI
- 1114211802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- FACCT CPY0329010311 (FL)
- Practice address
- 1452 N US Highway 1
Ormond Beach, FL 32174-6638 - Phone
- (386) 871-7727
- Fax
- (386) 673-8329
- NPI assigned
- May 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science, Master of Education, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 1686 | MA | MD | Psychologist |
| FACCT CPY0329010311 | FL | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | MA 1686 | MA | |
| Clinical Psychologist | 103TC0700X | FACCT CPY0329010311 | FL | Yes |
Addresses
Primary practice location
1452 N US Highway 1
Ormond Beach, FL 32174-6638
Mailing address
PO Box 730427
Ormond Beach, FL 32173-0427
Phone (386) 871-7727
Other names
- Dr. Isabelle Bragg King
Other providers in Ormond Beach, FL
- Miranda Leigh Kiff
- Vincent Shane Kilgore-Sanford
- Arrionna Killins
- Seung Hee Kim
- Cheryl Kimmel
- Jennifer King
- Jody Michele King
- Sandford H. Kinne III
- Kist Medical LLC
- Leila Klemm
All providers in Ormond Beach, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.