Individual
DR. REBECCA CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5441 N UNIVERSITY DR STE 101, CORAL SPRINGS, FL 33067-4640
(954) 803-9002
(954) 933-2305
Mailing address
5441 N UNIVERSITY DR STE 102, CORAL SPRINGS, FL 33067-4640
(954) 803-9002
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY11189
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY11189
FL
103TC0700X
Clinical Psychologist
Primary
PY11189
FL
103TP2701X
Group Psychotherapy Psychologist
PY11189
FL
Other
Enumeration date
11/12/2021
Last updated
02/22/2022
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