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3127 W Hallandale Beach Blvd Suite 115 Pembroke Park FL 33009-5150 | |
(754) 816-3071 | |
(754) 816-3071 |
Full Name | |
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Speciality | Psychologist - Counseling |
Location | 3127 W Hallandale Beach Blvd, Pembroke Park, Florida |
Authorized Official Name and Position | Barbara Irizarry-luke (ADMINISTRATOR) |
Authorized Official Contact | 7548163071 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3127 W Hallandale Beach Blvd Suite 115 Hallandale FL 33009-5150 Ph: (754) 816-3071 | 3127 W Hallandale Beach Blvd Suite 115 Pembroke Park FL 33009-5150 Ph: (754) 816-3071 |
NPI Number | 1609184290 |
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Provider Enumeration Date | 09/17/2010 |
Last Update Date | 10/21/2011 |
Identifier | Type | State | Issuer |
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1609184290 | NPI | - | NPPES |