Individual
DR. EDWARD CUNLIFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
521 LAKE AVE STE 8, LAKE WORTH, FL 33460-3846
(305) 484-0832
(305) 668-7450
Mailing address
521 LAKE AVE STE 8, LAKE WORTH, FL 33460-3846
(305) 484-0832
(305) 668-7450
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PY6979
FL
103TC0700X
Clinical Psychologist
PY6979
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY6979
FL
103TF0200X
Forensic Psychologist
Primary
PY6979
FL
103TH0100X
Health Service Psychologist
PY6979
FL
103TP2701X
Group Psychotherapy Psychologist
PY6979
FL
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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