Individual
DR. ERIC Y REZNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
212 NE 1ST AVE, HALLANDALE BEACH, FL 33009-4230
(305) 989-8050
(954) 367-6261
Mailing address
1087 SCARLET OAK ST, HOLLYWOOD, FL 33019-4810
(305) 989-8050
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8220
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY8220
FL
103TF0000X
Family Psychologist
PY8220
FL
103TP2701X
Group Psychotherapy Psychologist
PY8220
FL
Other
Enumeration date
05/04/2009
Last updated
12/14/2012
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