Organization
JANIE THOMAS KONDELL, PSY.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANIE THOMAS KONDELL PSY.D. (PRESIDENT)
(954) 962-0454
Entity
Organization
Contact information
Practice address
3325 HOLLYWOOD BLVD, SUITE 203, HOLLYWOOD, FL 33021-6999
(954) 962-0454
(954) 962-0989
Mailing address
3325 HOLLYWOOD BLVD, SUITE 203, HOLLYWOOD, FL 33021-6999
(954) 962-0454
(954) 962-0989
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY5414
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770640427
INDIVIDUAL PRACTITIONER
FL
01
—
177064427
INDIVIDUAL PRACTITIONER
FL
Enumeration date
02/25/2013
Last updated
02/25/2013
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