Individual
DR. MICHELE MARIE JEAN-GILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1909 TYLER ST, SUITE 504, HOLLYWOOD, FL 33020-4527
(954) 929-7515
(954) 929-7510
Mailing address
1909 TYLER ST, SUITE 504, HOLLYWOOD, FL 33020-4527
(954) 929-7515
(954) 929-7510
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767892400
—
FL
Enumeration date
10/12/2007
Last updated
10/12/2007
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