| Florida Forensic Psychology, Inc | |
|
5190 Nw 167th St Ste 215 Miami Lakes FL 33014-6338 | |
| (305) 456-4147 | |
| Not Available |
| Full Name | Florida Forensic Psychology, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 5190 Nw 167th St Ste 215, Miami Lakes, Florida |
| Authorized Official Name and Position | Johanna Guerrero (OWNER) |
| Authorized Official Contact | 3054564147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Forensic Psychology, Inc Po Box 172435 Hialeah FL 33017-2435 Ph: (305) 456-4147 | Florida Forensic Psychology, Inc 5190 Nw 167th St Ste 215 Miami Lakes FL 33014-6338 Ph: (305) 456-4147 |
| NPI Number | 1497283998 |
|---|---|
| Provider Enumeration Date | 05/26/2017 |
| Last Update Date | 12/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497283998 | NPI | - | NPPES |
| 0217516-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
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