| Psychological Specialists Pa | |
|
7000 Sw 62nd Ave Ph L South Miami FL 33143-4721 | |
| (305) 667-4724 | |
| (305) 667-8599 |
| Full Name | Psychological Specialists Pa |
|---|---|
| Speciality | Psychologist |
| Location | 7000 Sw 62nd Ave Ph L, South Miami, Florida |
| Authorized Official Name and Position | Leonard I Jacobson (PRESIDENT) |
| Authorized Official Contact | 3056674724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Specialists Pa 7000 Sw 62nd Ave Ph L South Miami FL 33143-4721 Ph: (305) 667-4724 | Psychological Specialists Pa 7000 Sw 62nd Ave Ph L South Miami FL 33143-4721 Ph: (305) 667-4724 |
| NPI Number | 1154594547 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154594547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | FL PY0002309 (Florida) | Primary |
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