| Riverside Psychological Group | |
|
1801 University Drive Penthouse A Coral Springs FL 33071 | |
| (954) 755-4778 | |
| (954) 755-0240 |
| Full Name | Riverside Psychological Group |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1801 University Drive, Coral Springs, Florida |
| Authorized Official Name and Position | Joseph John Cimino (OWNER PRESIDENT) |
| Authorized Official Contact | 9547554778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Psychological Group 1801 University Drive Penthouse Suite A Coral Springs FL 33071 Ph: (954) 755-4778 | Riverside Psychological Group 1801 University Drive Penthouse A Coral Springs FL 33071 Ph: (954) 755-4778 |
| NPI Number | 1811178387 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 04/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811178387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY4734 (Florida) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY0004734 (Florida) | Primary |
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