Organization
WUNDERMAN & WUNDERMAN, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERILEE WUNDERMAN PH.D. (VICE PRESIDENT)
(305) 595-6633
Entity
Organization
Contact information
Practice address
8600 SW 92ND ST, SUITE 203, MIAMI, FL 33156-7397
(305) 595-6633
(305) 385-7164
Mailing address
8600 SW 92ND ST, SUITE 203, MIAMI, FL 33156-7397
(305) 595-6633
(305) 385-7164
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY4278
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24151
MEDICARE GROUP
FL
Enumeration date
03/17/2008
Last updated
12/19/2024
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