Individual
DR. SUSAN ELIZABETH KORTLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2771 EXECUTIVE PARK DR, SUITE 4, WESTON, FL 33331-3642
(954) 385-4696
(954) 385-8385
Mailing address
2771 EXECUTIVE PARK DR, SUITE 4, WESTON, FL 33331-3642
(954) 385-4696
(954) 385-8385
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY5774
FL
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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