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Individual

DR. DAVID LIONEL FORSTADT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD, LPC, CASAC

Contact information

Practice address
805 E BROWARD BLVD STE 301, FORT LAUDERDALE, FL 33301-2046
(323) 205-5345
Mailing address
544 NE 14TH AVE, FORT LAUDERDALE, FL 33301-1275
(716) 908-3066

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
25987
NY
101YM0800X
Mental Health Counselor
LPC.0016363
CO
101YM0800X
Mental Health Counselor
LPCC.9293
CA
101YM0800X
Mental Health Counselor
MH.18797
FL
103T00000X
Psychologist
Primary

Other

Enumeration date
05/09/2008
Last updated
11/28/2022
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