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Organization

FLORIDA FORENSIC PSYCHOLOGY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHANNA GUERRERO PHD (OWNER)
(305) 456-4147
Entity
Organization

Contact information

Practice address
5190 NW 167TH ST STE 215, MIAMI LAKES, FL 33014-6338
(305) 456-4147
Mailing address
PO BOX 172435, HIALEAH, FL 33017-2435
(305) 456-4147

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
251B00000X
Case Management Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0217516-00
FL
Enumeration date
05/26/2017
Last updated
12/06/2017
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