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Organization

RICHARD S. GREENBAUM PHD, PA

Active
Other names
Richard S. Greenbaum PHD, PA
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD S GREENBAUM PHD, P.A. (PRESIDENT)
(305) 891-4821
Entity
Organization

Contact information

Practice address
1175 N.E. 125 ST., #201, NO. MIAMI, FL 33161-2218
(305) 891-4821
(305) 891-4271
Mailing address
1175 N.E. 125 ST., #201, NO. MIAMI, FL 33161-2218
(305) 891-4821
(305) 891-4271

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2247
FL

Other

Enumeration date
10/29/2009
Last updated
10/29/2009
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