Individual
ILENE M KAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
113 VIA CONDADO WAY, PALM BEACH GARDENS, FL 33418-1703
(954) 326-0680
Mailing address
113 VIA CONDADO WAY, PALM BEACH GARDENS, FL 33418-1703
(954) 326-0680
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PY9457
FL
Other
Enumeration date
10/14/2011
Last updated
01/07/2016
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