Organization
PSYCHOLOGICAL CONSULTATION SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS R ZALDIVAR PH.D. (PRESIDENT)
(786) 387-9386
Entity
Organization
Contact information
Practice address
9299 SW 152ND ST STE 200, PALMETTO BAY, FL 33157-1776
(786) 387-9386
Mailing address
9299 SW 152ND ST STE 200, PALMETTO BAY, FL 33157-1776
(786) 387-9386
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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