Organization
ILYSSA HERSHEY PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILYSSA HERSHEY PSYD (OWNER)
(954) 849-2012
Entity
Organization
Contact information
Practice address
15757 PINES BLVD, PMB 311, PEMBROKE PINES, FL 33027-1207
(954) 849-2012
(954) 499-5913
Mailing address
15757 PINES BLVD, PMB 311, PEMBROKE PINES, FL 33027-1207
(954) 849-2012
(954) 499-5913
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6625
FL
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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