Individual
DR. ELLEN KOLOMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7860 PETERS RD STE F111, PLANTATION, FL 33324-4027
(904) 382-6779
Mailing address
7860 PETERS RD STE F111, PLANTATION, FL 33324-4027
(904) 382-6779
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY10767
FL
Other
Enumeration date
03/21/2021
Last updated
03/21/2021
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