| Family And Forensic Psychology Pa | |
|
10000 Stirling Rd Ste 6 Cooper City FL 33024 | |
| (954) 436-8326 | |
| (954) 433-0603 |
| Full Name | Family And Forensic Psychology Pa |
|---|---|
| Speciality | Psychologist - Forensic |
| Location | 10000 Stirling Rd, Cooper City, Florida |
| Authorized Official Name and Position | Charles Barry Winick (PRESIDENT) |
| Authorized Official Contact | 9544368326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family And Forensic Psychology Pa 10000 Stirling Rd Ste 6 Cooper City FL 33024 Ph: (954) 436-8326 | Family And Forensic Psychology Pa 10000 Stirling Rd Ste 6 Cooper City FL 33024 Ph: (954) 436-8326 |
| NPI Number | 1629049390 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629049390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY0004966 (Florida) | Primary |
| 103TF0200X | Psychologist - Forensic | PY0004966 (Florida) | Primary |
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