| Janie Thomas Kondell, Psy.d., P.a. | |
|
3325 Hollywood Blvd Suite 203 Hollywood FL 33021-6999 | |
| (954) 962-0454 | |
| (954) 962-0989 |
| Full Name | Janie Thomas Kondell, Psy.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 3325 Hollywood Blvd, Hollywood, Florida |
| Authorized Official Name and Position | Janie Thomas Kondell (PRESIDENT) |
| Authorized Official Contact | 9549620454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janie Thomas Kondell, Psy.d., P.a. 3325 Hollywood Blvd Suite 203 Hollywood FL 33021-6999 Ph: (954) 962-0454 | Janie Thomas Kondell, Psy.d., P.a. 3325 Hollywood Blvd Suite 203 Hollywood FL 33021-6999 Ph: (954) 962-0454 |
| NPI Number | 1558601757 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 02/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558601757 | NPI | - | NPPES |
| 1770640427 | Other | FL | INDIVIDUAL PRACTITIONER |
| 177064427 | Other | FL | INDIVIDUAL PRACTITIONER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY5414 (Florida) | Primary |
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