Organization
MIRTA RICE PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRTA RICE PSY.D. (PRESIDENT)
(954) 385-0353
Entity
Organization
Contact information
Practice address
1625 N COMMERCE PKWY, SUITE NUMBER 200, WESTON, FL 33326-3216
(954) 385-0353
(954) 389-0886
Mailing address
1625 N COMMERCE PKWY, SUITE # 200, WESTON, FL 33326-3216
(954) 385-0353
(954) 389-0886
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
FL
103TC2200X
Clinical Child & Adolescent Psychologist
—
FL
103TH0004X
Health Psychologist
—
—
Other
Enumeration date
09/17/2008
Last updated
12/21/2010
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