| Broward Psychological Group Inc | |
|
4400 Sheridan St Hollywood FL 33021-3514 | |
| (954) 961-5447 | |
| Not Available |
| Full Name | Broward Psychological Group Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4400 Sheridan St, Hollywood, Florida |
| Authorized Official Name and Position | Warren Byron Graditor (PRESIDENT) |
| Authorized Official Contact | 9549615447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward Psychological Group Inc 4400 Sheridan St Hollywood FL 33021-3514 Ph: (954) 961-5447 | Broward Psychological Group Inc 4400 Sheridan St Hollywood FL 33021-3514 Ph: (954) 961-5447 |
| NPI Number | 1467607960 |
|---|---|
| Provider Enumeration Date | 11/25/2008 |
| Last Update Date | 01/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467607960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY002243 (Florida) | Primary |
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