Organization
COGNITIVE DISSONANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE F MASON PHD (PRESIDENT)
(954) 981-3200
Entity
Organization
Contact information
Practice address
4800 SW 64TH AVE, SUITE 105-D, DAVIE, FL 33314-4429
(954) 981-3200
(423) 790-1620
Mailing address
5324 HAYES STREET, HOLLYWOOD, FL 33021
(954) 981-3200
(423) 790-1620
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW89
FL
106H00000X
Marriage & Family Therapist
MT58
FL
Other
Enumeration date
11/27/2006
Last updated
03/05/2008
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