| Srm Clinical Psychology P A | |
|
6100 Hollywood Blvd Suite 201 Hollywood FL 33024-7900 | |
| (954) 962-8052 | |
| (954) 966-4774 |
| Full Name | Srm Clinical Psychology P A |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 6100 Hollywood Blvd, Hollywood, Florida |
| Authorized Official Name and Position | Sara Malagold (PRESIDENT) |
| Authorized Official Contact | 9549628052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Srm Clinical Psychology P A 3215 Ne 184th St Apto 14203 North Miami Beach FL 33160-4994 Ph: (954) 962-8052 | Srm Clinical Psychology P A 6100 Hollywood Blvd Suite 201 Hollywood FL 33024-7900 Ph: (954) 962-8052 |
| NPI Number | 1811133309 |
|---|---|
| Provider Enumeration Date | 01/05/2009 |
| Last Update Date | 08/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811133309 | NPI | - | NPPES |
| 7360 | Other | FL | LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 7360 (Florida) | Primary |
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