Individual
KELLI MALKASIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2425 E COMMERCIAL BLVD, SUITE 400A, FORT LAUDERDALE, FL 33308-4034
(954) 590-0597
Mailing address
1631 NE 63RD CT, FORT LAUDERDALE, FL 33334-5125
(561) 789-9746
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 8646
FL
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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