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Organization
CHILD PROVIDER SPECIALISTS, INC.
Active
Organization
CHILD PROVIDER SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PATRICK RIZZO PH.D. (OWNER/LICENSED SCHOOL PSYCHOLOGIST)
(954) 385-6292
Entity
Organization
Contact information
Practice address
2771 EXECUTIVE PARK DR, SUITE #5, WESTON, FL 33331-3642
(954) 577-3396
Mailing address
2771 EXECUTIVE PARK DR, SUITE #5, WESTON, FL 33331-3642
(954) 577-3396
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
SS480
FL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY5889
FL
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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