Dr Wilhelmina Siny Koedam, PHD | |
134 S Dixie Hwy Ste 104, Hallandale Beach, FL 33009-5423 | |
(954) 895-4248 | |
(954) 921-5200 |
Full Name | Dr Wilhelmina Siny Koedam |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 134 S Dixie Hwy Ste 104, Hallandale Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023110863 | NPI | - | NPPES |
650030104 | Other | FL | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY0003507 (Florida) | Primary |
Entity Name | Wilhelmina S Koedam Phd Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851698328 PECOS PAC ID: 4981881133 Enrollment ID: O20110615000723 |
Mailing Address | Practice Location Address |
---|---|
Dr Wilhelmina Siny Koedam, PHD 1011 Hollywood Blvd, Hollywood, FL 33019-1607 Ph: (954) 895-4248 | Dr Wilhelmina Siny Koedam, PHD 134 S Dixie Hwy Ste 104, Hallandale Beach, FL 33009-5423 Ph: (954) 895-4248 |
Dr. Suzanne C Lechner, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2100 E Hallandale Beach Blvd, Ste 302, Hallandale Beach, FL 33009 Phone: 954-456-8900 | |
Dr. Eva Benmeleh, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 221 W Hallandale Beach Blvd Ste 202, Hallandale Beach, FL 33009 Phone: 786-383-4942 | |
Yelina Fernandez, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Se 4th Ave Ste 816b, Hallandale Beach, FL 33009 Phone: 305-587-7737 Fax: 305-517-5377 | |
Dr. Kahina Beasley, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1920 E Hallandale Beach Blvd Ste 620, Hallandale Beach, FL 33009 Phone: 954-399-0441 Fax: 855-399-0441 | |
Dr. Eric Y Reznik, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 212 Ne 1st Ave, Hallandale Beach, FL 33009 Phone: 305-989-8050 Fax: 954-367-6261 | |
Joseph Michael Mancini Jr., Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1936 S Ocean Dr Apt 3c, Hallandale Beach, FL 33009 Phone: 305-454-4271 Fax: 810-452-6818 |