| Individualized Psychological Resources, Inc. | |
|
915 Middle River Dr Ste 307 Fort Lauderdale FL 33304-3560 | |
| (954) 632-7260 | |
| Not Available |
| Full Name | Individualized Psychological Resources, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 915 Middle River Dr Ste 307, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Kity D. Laboriel (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9549642925 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Individualized Psychological Resources, Inc. 7476 Nw 18th Dr Pembroke Pines FL 33024-1008 Ph: (954) 964-2925 | Individualized Psychological Resources, Inc. 915 Middle River Dr Ste 307 Fort Lauderdale FL 33304-3560 Ph: (954) 632-7260 |
| NPI Number | 1780817627 |
|---|---|
| Provider Enumeration Date | 08/26/2009 |
| Last Update Date | 08/26/2009 |
| Medicare PECOS PAC ID | 6507907987 |
|---|---|
| Medicare Enrollment ID | O20100107000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780817627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7215 (Florida) | Primary |
| Provider Name | Kity D Laboriel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386874980 PECOS PAC ID: 6305987785 Enrollment ID: I20100107000306 |
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