Organization
STEPHEN W. KONCSOL P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN W. KONCSOL PHD (PRESIDENT)
(305) 653-0098
Entity
Organization
Contact information
Practice address
1011 IVES DAIRY RD, SUITE 208 BLDG. 2, NORTH MIAMI BEACH, FL 33179-2536
(305) 653-0098
(305) 654-4412
Mailing address
1011 IVES DAIRY RD, SUITE 208 BLDG. 2, NORTH MIAMI BEACH, FL 33179-2536
(305) 653-0098
(305) 654-4412
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0002754
FL
Other
Enumeration date
02/22/2011
Last updated
07/11/2011
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