Individual
JESSICA KETTERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
603 N FLAMINGO RD, SUITE 151, PEMBROKE PINES, FL 33028-1023
(954) 265-4325
(954) 443-4747
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5603
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY9462
FL
Other
Enumeration date
01/04/2016
Last updated
03/19/2021
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