| Constance Avery-clark, Ph.d., Llc | |
|
7100 W Camino Real Suite 302, #7 Boca Raton FL 33433-5510 | |
| (954) 849-7997 | |
| Not Available |
| Full Name | Constance Avery-clark, Ph.d., Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 7100 W Camino Real, Boca Raton, Florida |
| Authorized Official Name and Position | Constance Avery-clark (OWNER) |
| Authorized Official Contact | 9548497997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Constance Avery-clark, Ph.d., Llc 7100 W Camino Real Suite 302, #7 Boca Raton FL 33433-5510 Ph: () - | Constance Avery-clark, Ph.d., Llc 7100 W Camino Real Suite 302, #7 Boca Raton FL 33433-5510 Ph: (954) 849-7997 |
| NPI Number | 1750826285 |
|---|---|
| Provider Enumeration Date | 12/19/2016 |
| Last Update Date | 12/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750826285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY3980 (Florida) | Primary |
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