Individual
DR. WILHELMINA SINY KOEDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
134 S DIXIE HWY STE 104, HALLANDALE BEACH, FL 33009-5423
(954) 895-4248
(954) 921-5200
Mailing address
1011 HOLLYWOOD BLVD, HOLLYWOOD, FL 33019-1607
(954) 895-4248
(954) 921-5200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0003507
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650030104
TAX ID
FL
Enumeration date
09/02/2006
Last updated
03/18/2024
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