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Organization
SSQ PSYCHIATRY LLC
Active
Organization
SSQ PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANA QURESHI (OWNER)
(228) 282-0697
Entity
Organization
Contact information
Practice address
540 BRICKELL KEY DR APT 1426, MIAMI, FL 33131-3534
(228) 282-0697
Mailing address
540 BRICKELL KEY DR APT 1426, MIAMI, FL 33131-3534
(228) 282-0697
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
08/02/2017
Last updated
07/21/2022
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