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Organization
A DIFFERENT PERSPECTIVE, LLC
Active
Organization
A DIFFERENT PERSPECTIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL J BOTTA JR. PSY.D. (LICENSED PSYCHOLOGIST)
(954) 494-6813
Entity
Organization
Contact information
Practice address
17900 NW 5TH ST, SUITE 201, PEMBROKE PINES, FL 33029-2808
(954) 494-6813
Mailing address
17900 NW 5TH ST, SUITE 201, PEMBROKE PINES, FL 33029-2808
(954) 494-6813
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY7746
FL
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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