Individual
CASEY JENNIFER DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3600 WASHINGTON ST STE 1005, HOLLYWOOD, FL 33021-8216
(954) 518-5507
(954) 981-3476
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
9406
FL
103TC0700X
Clinical Psychologist
Primary
PY9406
FL
103TR0400X
Rehabilitation Psychologist
9406
FL
Other
Enumeration date
01/16/2010
Last updated
03/18/2021
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