| Psychodynanic Consulting Inc. | |
|
2645 Executive Park Dr Suite 140 Weston FL 33331-3624 | |
| (305) 801-7232 | |
| Not Available |
| Full Name | Psychodynanic Consulting Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2645 Executive Park Dr, Weston, Florida |
| Authorized Official Name and Position | Stella Rada (DIRECTOR) |
| Authorized Official Contact | 3058017232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychodynanic Consulting Inc. 19420 Sw 30th St Miramar FL 33029-5809 Ph: (305) 801-7232 | Psychodynanic Consulting Inc. 2645 Executive Park Dr Suite 140 Weston FL 33331-3624 Ph: (305) 801-7232 |
| NPI Number | 1659554491 |
|---|---|
| Provider Enumeration Date | 12/16/2007 |
| Last Update Date | 12/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659554491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MH7484 (Florida) | Primary |
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