Unknown Individual – Clinical Psychologist, NPI 1407961378
Clinical Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1700, Southwest 22nd Street, Fort Lauderdale, Broward County, Florida, 33315, United States
FT LAUDERDALE, FL 333151837
Phone: (954) 522-4941
Fax: (954) 522-4357
Type: Mailing
2101, South Andrews Avenue, Fort Lauderdale, Broward County, Florida, 33316, United States
SUITE #105
FT LAUDERDALE, FL 333163468
Phone: (954) 522-4941
Fax: (954) 522-4357
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33315)
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