Organization
RICHARD S GREENBAUM PHD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GREENBAUM (OWNER)
(305) 841-4827
Entity
Organization
Contact information
Practice address
1175 NE 125TH ST, NORTH MIAMI, FL 33161-5015
(305) 841-4827
(305) 891-4271
Mailing address
1175 NE 125TH ST, NORTH MIAMI, FL 33161-5015
(305) 841-4827
(305) 891-4271
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
—
—
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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