Organization
LIGHTHOUSE PSYCHOLOGISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA JAEGERMAN PSY.D. (OWNER)
(954) 667-7176
Entity
Organization
Contact information
Practice address
2450 HOLLYWOOD BLVD, SUITE 200A, HOLLYWOOD, FL 33020-6619
(954) 667-7176
Mailing address
2450 HOLLYWOOD BLVD, SUITE 200A, HOLLYWOOD, FL 33020-6619
(954) 667-7176
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7141
FL
Other
Enumeration date
04/17/2012
Last updated
03/21/2016
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