Organization
SUNLIFE PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM KEDEM PHD (PSYCHOLOGIST)
(646) 942-1531
Entity
Organization
Contact information
Practice address
3550 BISCAYNE BLVD STE 305, MIAMI, FL 33137-3853
(646) 942-1531
Mailing address
558154 LUDLAM STATION, MIAMI, FL 33255
(305) 859-1709
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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