| Charu Jain, Psy.d. Llc | |
|
7420 Nw 5th St Suite 103 Plantation FL 33317-1611 | |
| (954) 817-6372 | |
| (954) 587-8686 |
| Full Name | Charu Jain, Psy.d. Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 7420 Nw 5th St, Plantation, Florida |
| Authorized Official Name and Position | Charu Jain (PRESIDENT) |
| Authorized Official Contact | 9548176372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charu Jain, Psy.d. Llc 7420 Nw 5th St Suite 103 Plantation FL 33317-1611 Ph: (954) 817-6372 | Charu Jain, Psy.d. Llc 7420 Nw 5th St Suite 103 Plantation FL 33317-1611 Ph: (954) 817-6372 |
| NPI Number | 1396296810 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396296810 | NPI | - | NPPES |
| PY9137 | Other | FL | LICENCE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY9137 (Florida) | Primary |
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