| Cognitive Dissonance Inc | |
|
4800 Sw 64th Ave Suite 105-d Davie FL 33314-4429 | |
| (954) 981-3200 | |
| (423) 790-1620 |
| Full Name | Cognitive Dissonance Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4800 Sw 64th Ave, Davie, Florida |
| Authorized Official Name and Position | Renee F Mason (PRESIDENT) |
| Authorized Official Contact | 9549813200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Dissonance Inc 5324 Hayes Street Hollywood FL 33021 Ph: (954) 981-3200 | Cognitive Dissonance Inc 4800 Sw 64th Ave Suite 105-d Davie FL 33314-4429 Ph: (954) 981-3200 |
| NPI Number | 1518033323 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518033323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW89 (Florida) | Primary |
| 106H00000X | Marriage & Family Therapist | MT58 (Florida) | Secondary |
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