Broward Psychological Associates, Inc | |
5700 Hollywood Blvd Hollywood FL 33021-6350 | |
(954) 983-7457 | |
Not Available |
Full Name | Broward Psychological Associates, Inc |
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Speciality | Psychologist |
Location | 5700 Hollywood Blvd, Hollywood, Florida |
Authorized Official Name and Position | Cheryl A. Gotthelf (OWNER) |
Authorized Official Contact | 9549837457 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Broward Psychological Associates, Inc 5700 Hollywood Blvd Hollywood FL 33021-6350 Ph: (954) 983-7457 | Broward Psychological Associates, Inc 5700 Hollywood Blvd Hollywood FL 33021-6350 Ph: (954) 983-7457 |
NPI Number | 1487066544 |
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Provider Enumeration Date | 05/23/2014 |
Last Update Date | 04/06/2021 |
Certification Date | 04/06/2021 |
Medicare PECOS PAC ID | 9931518875 |
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Medicare Enrollment ID | O20210506000478 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487066544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Cheryl Ann Gotthelf |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1396774196 PECOS PAC ID: 5799950168 Enrollment ID: I20111213000836 |
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