Individual
DR. MIRTA RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
108 SE 8TH AVE STE 203, FORT LAUDERDALE, FL 33301-2023
(954) 660-3552
Mailing address
2625 WESTON RD, WESTON, FL 33331-3614
(954) 660-3552
(954) 660-3610
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
PY 7795
FL
103TC0700X
Clinical Psychologist
Primary
PY 7795
FL
103TH0004X
Health Psychologist
PY 7795
FL
Other
Enumeration date
09/16/2008
Last updated
01/24/2020
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