| Clinical & Forensic Institute | |
|
4801 S University Dr Suite 301-east Davie FL 33328-3839 | |
| (954) 434-8006 | |
| (954) 434-0147 |
| Full Name | Clinical & Forensic Institute |
|---|---|
| Speciality | Psychologist - Forensic |
| Location | 4801 S University Dr, Davie, Florida |
| Authorized Official Name and Position | Lori Jane Butts (PRESIDENT) |
| Authorized Official Contact | 9544348006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical & Forensic Institute 4801 S University Dr Suite 301-east Davie FL 33328-3839 Ph: (954) 434-8006 | Clinical & Forensic Institute 4801 S University Dr Suite 301-east Davie FL 33328-3839 Ph: (954) 434-8006 |
| NPI Number | 1386860856 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 01/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386860856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY0006490 (Florida) | Secondary |
| 103TF0200X | Psychologist - Forensic | PY0006490 (Florida) | Primary |
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