| Renee Irene Ross Lcsw Psyd Inc. | |
|
2100 E Hallandale Beach Blvd 306a Hallandale Beach FL 33009-3765 | |
| (516) 729-0502 | |
| (801) 912-7811 |
| Full Name | Renee Irene Ross Lcsw Psyd Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2100 E Hallandale Beach Blvd, Hallandale Beach, Florida |
| Authorized Official Name and Position | Irene B Ross (PRESIDENT) |
| Authorized Official Contact | 5167290502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renee Irene Ross Lcsw Psyd Inc. 2100 E Hallandale Beach Blvd 306a Hallandale Beach FL 33009-3765 Ph: (516) 729-0502 | Renee Irene Ross Lcsw Psyd Inc. 2100 E Hallandale Beach Blvd 306a Hallandale Beach FL 33009-3765 Ph: (516) 729-0502 |
| NPI Number | 1356723167 |
|---|---|
| Provider Enumeration Date | 06/29/2015 |
| Last Update Date | 06/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356723167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW8398 (Florida) | Primary |
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