Justin Conrad Koenitzer, PSYD
Justin Conrad Koenitzer, PSYD is a Clinical Psychologist in Rockledge, Florida. Qualified in 2008, 18 years ago. Practices with Optum Behavioral Care of North Carolina PC, a 176-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 18
- Licensed in
- FL
- In the registry since
- 2012
What do these letters mean?
- PSYD — Doctor of Psychology
- A doctoral psychologist trained primarily for clinical practice.
Practice location Address checks out
220 Barton Blvd Unit C14Rockledge, FL 32955-2742
Phone: (321) 639-5177
Fax: (321) 639-4927
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence PY8536 (FL) |
|---|
Record details
| NPI number | 1578824421 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PSYD |
| Sole proprietor | No |
| NPI enumerated | June 6, 2012 |
| Last updated in NPPES | June 6, 2012 |
| Mailing address | Po Box 1137, Melbourne, FL 32902-1137 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Group practice | Optum Behavioral Care Of North Carolina Pc — 176 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |