Individual
MINDY RUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2751 EXECUTIVE PARK DR, SUITE 102, WESTON, FL 33331-3660
(954) 384-1117
Mailing address
2751 EXECUTIVE PARK DR, SUITE 102, WESTON, FL 33331-3660
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6529
FL
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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