Individual
DR. MICHAEL ASHLEY SCHENKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1000 N HIATUS RD, SUITE 101, PEMBROKE PINES, FL 33026-3097
(954) 547-3086
(954) 827-0711
Mailing address
402 NW 152ND LN, PEMBROKE PINES, FL 33028-1844
(954) 547-3086
(954) 827-0711
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY5906
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302125
AVMED PROVIDER NUMBER
FL
01
—
9413593
PHCS PROVIDER NUMBER
FL
Enumeration date
06/09/2007
Last updated
06/29/2008
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