# CHILD AND FAMILY PSYCHOLOGISTS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477535706
- **Authorized official:** DR. MITCHELL E SPERO PSY D (DIRECTOR/OWNER)
- **Authorized official phone:** (954) 587-7520

## Contact information

- **Practice address:** 350 NW 70TH AVE, STE A, PLANTATION, FL 33317-2349
- **Practice address phone:** (954) 587-7520
- **Practice address fax:** (954) 587-7527
- **Mailing address:** 350 NW 70TH AVE STE A, PLANTATION, FL 33317-2349
- **Mailing address phone:** (954) 587-7520
- **Mailing address fax:** (954) 587-7527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 11/14/2005
- **Last updated:** 12/13/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 73376 | BCBS | FL |