Individual
DR. JACLYN HOLLY POLSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
514 SE 11TH CT, SUITE A, FORT LAUDERDALE, FL 33316-1111
(954) 764-7155
Mailing address
13000 NW 5TH ST, PLANTATION, FL 33325-2221
(954) 303-0868
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8678
FL
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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