# MIRTA RICE PSYD LLC

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

## Provider details

- **NPI number:** 1497904221
- **Authorized official:** DR. MIRTA RICE PSY.D. (PRESIDENT)
- **Authorized official phone:** (954) 385-0353

## Contact information

- **Practice address:** 1625 N COMMERCE PKWY, SUITE NUMBER 200, WESTON, FL 33326-3216
- **Practice address phone:** (954) 385-0353
- **Practice address fax:** (954) 389-0886
- **Mailing address:** 1625 N COMMERCE PKWY, SUITE \# 200, WESTON, FL 33326-3216
- **Mailing address phone:** (954) 385-0353
- **Mailing address fax:** (954) 389-0886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0700X | Adult Development & Aging Psychologist | — | FL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | FL | — |
| 103TH0004X | Health Psychologist | — | NULL | — |
| 103TH0004X | Health Psychologist | — | — | — |

## Other

- **Enumeration date:** 09/17/2008
- **Last updated:** 12/21/2010