| Life Solutions Psychological Services, P.a. | |
|
4121 Nw 5th St Suite 207 Plantation FL 33317-2120 | |
| (954) 583-4568 | |
| Not Available |
| Full Name | Life Solutions Psychological Services, P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 4121 Nw 5th St, Plantation, Florida |
| Authorized Official Name and Position | Latoya E Shakes Malone (OWNER) |
| Authorized Official Contact | 9545834568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Solutions Psychological Services, P.a. 4121 Nw 5th St Suite 207 Plantation FL 33317-2120 Ph: (954) 583-4568 | Life Solutions Psychological Services, P.a. 4121 Nw 5th St Suite 207 Plantation FL 33317-2120 Ph: (954) 583-4568 |
| NPI Number | 1104190180 |
|---|---|
| Provider Enumeration Date | 03/08/2012 |
| Last Update Date | 03/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104190180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY7376 (Florida) | Primary |
| 103TF0000X | Psychologist - Family | PY7376 (Florida) | Secondary |
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