Individual
DR. CECILIA THERESA DEIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
18459 PINES BLVD, #324, PEMBROKE PINES, FL 33029-1400
(954) 266-8037
Mailing address
18459 PINES BLVD, #324, PEMBROKE PINES, FL 33029-1400
(954) 266-8037
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY0004983
FL
103T00000X
Psychologist
PY0004983
FL
Other
Enumeration date
08/13/2006
Last updated
03/19/2021
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