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Organization
PSYCHOLOGY SUPPORT CENTER
Active
Organization
PSYCHOLOGY SUPPORT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA SIMCHON LCSW, LSP (OWNER)
(917) 583-7331
Entity
Organization
Contact information
Practice address
3601 N PARK RD, HOLLYWOOD, FL 33021-2529
(917) 583-7331
Mailing address
3601 N PARK RD, HOLLYWOOD, FL 33021-2529
(917) 583-7331
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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