Organization
LIFE SOLUTIONS PSYCHOLOGICAL SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATOYA E SHAKES MALONE PH.D. (OWNER)
(954) 583-4568
Entity
Organization
Contact information
Practice address
4121 NW 5TH ST, SUITE 207, PLANTATION, FL 33317-2120
(954) 583-4568
Mailing address
4121 NW 5TH ST, SUITE 207, PLANTATION, FL 33317-2120
(954) 583-4568
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7376
FL
103TF0000X
Family Psychologist
PY7376
FL
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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