Organization
PSYCHOLOGICAL TESTING ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW D SIMON PSY.D.,LMHC.,FICPPM (PRESIDENT)
(954) 792-0772
Entity
Organization
Contact information
Practice address
7469 NW 4TH ST, PLANTATION, FL 33317-2216
(954) 792-0772
(954) 792-1221
Mailing address
7469 NW 4TH ST, PLANTATION, FL 33317-2216
(954) 792-0772
(954) 792-1221
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 6724
FL
Other
Enumeration date
03/23/2007
Last updated
09/27/2007
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