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7850 Nw 146 St Ste 422 Miami Lakes FL 33016 | |
| (305) 558-1500 | |
| (305) 558-6838 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 7850 Nw 146 St, Miami Lakes, Florida |
| Authorized Official Name and Position | Joann Stephens (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3055581500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7850 Nw 146 St Ste 422 Miami Lakes FL 33016 Ph: (305) 558-1500 | 7850 Nw 146 St Ste 422 Miami Lakes FL 33016 Ph: (305) 558-1500 |
| NPI Number | 1871509687 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871509687 | NPI | - | NPPES |
| PY6483 | Other | FL | PSYCHOLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY6483 (Florida) | Primary |
| 103TC0700X | Psychologist - Clinical | PY6483 (Florida) | Primary |
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