Organization
WOODLAKE PSYCHOLOGICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL E BRYAN JR. PH.D. (OWNER/PRESIDENT)
(561) 966-8423
Entity
Organization
Contact information
Practice address
3865 10TH AVE N, PALM SPRINGS, FL 33461-2853
(561) 966-8423
(561) 966-8424
Mailing address
3865 10TH AVE N, PALM SPRINGS, FL 33461-2853
(561) 966-8423
(561) 966-8424
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY0003895
FL
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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