Organization
CLINICAL & FORENSIC INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI JANE BUTTS J.D., PH.D. (PRESIDENT)
(954) 434-8006
Entity
Organization
Contact information
Practice address
4801 S UNIVERSITY DR, SUITE 301-EAST, DAVIE, FL 33328-3839
(954) 434-8006
(954) 434-0147
Mailing address
4801 S UNIVERSITY DR, SUITE 301-EAST, DAVIE, FL 33328-3839
(954) 434-8006
(954) 434-0147
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY0006490
FL
103TF0200X
Forensic Psychologist
Primary
PY0006490
FL
Other
Enumeration date
04/17/2007
Last updated
01/22/2009
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