Organization
INTEGRATIVE CENTER FOR COGNITIVE DISORDERS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MALAGOLD PSYD (OWNER)
(954) 894-4802
Entity
Organization
Contact information
Practice address
6100 HOLLYWOOD BLVD, SUITE 202, HOLLYWOOD, FL 33024-7900
(954) 894-4802
Mailing address
3160 NE 210TH ST, AVENTURA, FL 33180-3634
(954) 894-4802
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7360
FL
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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