Organization
STUART G. GOLD, PSY.D., PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH M THOMAS PSY.D., PH.D. (MANAGING MEMBER)
(305) 793-4159
Entity
Organization
Contact information
Practice address
1450 MADRUGA AVE STE 300, CORAL GABLES, FL 33146-3164
(305) 793-4159
Mailing address
3240 SW 192ND AVE, MIRAMAR, FL 33029-5821
(305) 793-4159
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6015
FL
Other
Enumeration date
04/02/2009
Last updated
08/03/2013
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