Organization
BROWARD PSYCHOLOGICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN BYRON GRADITOR PH.D. (PRESIDENT)
(954) 961-5447
Entity
Organization
Contact information
Practice address
4400 SHERIDAN ST, HOLLYWOOD, FL 33021-3514
(954) 961-5447
Mailing address
4400 SHERIDAN ST, HOLLYWOOD, FL 33021-3514
(954) 961-5447
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY002243
FL
Other
Enumeration date
11/25/2008
Last updated
01/12/2009
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