Unknown Individual – Psychologist, NPI 1457568370
Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Shoreview Drive, Sylvan Shores, Huron Heights, Waterford Township, Oakland County, Michigan, 48328, United States
J-110
OAKLAND PARK, FL 333097518
Phone: (954) 735-2765
Type: Mailing
1000, Himmarshee Street, Fort Lauderdale, Broward County, Florida, 33312, United States
FORT LAUDERDALE, FL 333127134
Phone: (954) 831-1581
Fax: (954) 765-4021
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
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33309)
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