Individual
DR. JUSTIN MICHAEL PUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1 W CAMINO REAL STE 201, BOCA RATON, FL 33432-5966
Mailing address
8639 EAGLE RUN DR APT 11, BOCA RATON, FL 33434-5439
(330) 620-8352
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY10018
FL
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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