Organization
CHILD AND FAMILY PSYCHOLOGISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL E SPERO PSY D (DIRECTOR/OWNER)
(954) 587-7520
Entity
Organization
Contact information
Practice address
350 NW 70TH AVE, STE A, PLANTATION, FL 33317-2349
(954) 587-7520
(954) 587-7527
Mailing address
350 NW 70TH AVE STE A, PLANTATION, FL 33317-2349
(954) 587-7520
(954) 587-7527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73376
BCBS
FL
Enumeration date
11/14/2005
Last updated
12/13/2010
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