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SRM CLINICAL PSYCHOLOGY P A NPI 1811133309


NPI Information

NPI: 1811133309
Provider Name: SRM CLINICAL PSYCHOLOGY P A
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
6100 HOLLYWOOD BLVD
SUITE 201
HOLLYWOOD, FL
ZIP 33024
Phone: (954) 962-8052
Get Directions

SRM CLINICAL PSYCHOLOGY P A is a clinical neuropsychologist in Hollywood, FL. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. SRM CLINICAL PSYCHOLOGY P A NPI is 1811133309. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6100 HOLLYWOOD BLVD
SUITE 201
HOLLYWOOD, FL
ZIP 33024-900
Phone: (954) 962-8052
Fax: (954) 966-4774

The provider's authorized official is Sara Malagold .
The authorized official title is President and has the following contact phone number (954) 962-8052.

The enumeration date for this NPI number is 1/5/2009 and was last updated on 8/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical Neuropsychologist7360FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CA913AMEDICARE PINFLORIDA
27360OTHERFLORIDALIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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