Scw Psychological, Inc | |
1550 Madruga Ave Suite 510 Coral Gables FL 33146-3039 | |
(305) 528-8808 | |
(305) 454-0511 |
Full Name | Scw Psychological, Inc |
---|---|
Speciality | Psychologist - Clinical |
Location | 1550 Madruga Ave, Coral Gables, Florida |
Authorized Official Name and Position | Suzanne Carroll Woodard (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 3055288808 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Scw Psychological, Inc Po Box 348220 Coral Gables FL 33234-8220 Ph: (305) 528-8808 | Scw Psychological, Inc 1550 Madruga Ave Suite 510 Coral Gables FL 33146-3039 Ph: (305) 528-8808 |
NPI Number | 1093002016 |
---|---|
Provider Enumeration Date | 06/29/2011 |
Last Update Date | 07/06/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093002016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY7196 (Florida) | Primary |
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