Individual
DR. CAROLE THERESE CAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2699 STIRLING RD, SUITE C306-E, FORT LAUDERDALE, FL 33312-6517
(305) 776-2457
Mailing address
2699 STIRLING RD, SUITE C306E, FORT LAUDERDALE, FL 33312-6517
(305) 776-2457
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
FL6837
FL
103TC0700X
Clinical Psychologist
FL6837
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688178579
—
FL
Enumeration date
08/30/2006
Last updated
02/28/2008
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