| |
4723 W Atlantic Ave Suite A5 Delray Beach FL 33445-3895 | |
(561) 638-0908 | |
(561) 638-1115 |
Full Name | |
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Speciality | Psychologist - Counseling |
Location | 4723 W Atlantic Ave, Delray Beach, Florida |
Authorized Official Name and Position | Helene R Sacharow (TREASURER CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 5612432857 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4723 W Atlantic Ave Suite A5 Delray Beach FL 33445-3895 Ph: (561) 638-0908 | 4723 W Atlantic Ave Suite A5 Delray Beach FL 33445-3895 Ph: (561) 638-0908 |
NPI Number | 1689766248 |
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Provider Enumeration Date | 09/29/2006 |
Last Update Date | 08/22/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689766248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY0005198 (Florida) | Secondary |
103TC1900X | Psychologist - Counseling | MH7411 (Florida) | Primary |
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