| Child Provider Specialists, Inc. | |
|
2771 Executive Park Dr Suite #5 Weston FL 33331-3642 | |
| (954) 577-3396 | |
| Not Available |
| Full Name | Child Provider Specialists, Inc. |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 2771 Executive Park Dr, Weston, Florida |
| Authorized Official Name and Position | Michael Patrick Rizzo (OWNER/LICENSED SCHOOL PSYCHOLOGIST) |
| Authorized Official Contact | 9543856292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Provider Specialists, Inc. 2771 Executive Park Dr Suite #5 Weston FL 33331-3642 Ph: (954) 577-3396 | Child Provider Specialists, Inc. 2771 Executive Park Dr Suite #5 Weston FL 33331-3642 Ph: (954) 577-3396 |
| NPI Number | 1942540257 |
|---|---|
| Provider Enumeration Date | 02/22/2013 |
| Last Update Date | 02/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942540257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | SS480 (Florida) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PY5889 (Florida) | Primary |
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