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Organization

THERAPEUTIC BEHAVIORAL ASSESSMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HARRY DAMUS PSY.D. (PSYCHOLOGIST)
(305) 274-0640
Entity
Organization

Contact information

Practice address
8200 SW 117TH AVE, SUITE 306, MIAMI, FL 33183-3856
(305) 274-0640
(305) 274-0630
Mailing address
8200 SW 117TH AVE, SUITE 306, MIAMI, FL 33183-3856
(305) 274-0640
(305) 274-0630

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY 7870
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004477900
FL
05
687253196
FL
Enumeration date
03/19/2009
Last updated
04/16/2014
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