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Individual

DR. LYDIA ROSA MALCOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
9050 PINES BLVD STE 450-00, PEMBROKE PINES, FL 33024-6455
(954) 715-5477
(954) 998-7177
Mailing address
18459 PINES BLVD # 120, PEMBROKE PINES, FL 33029-1400
(954) 715-5477

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY10094
FL

Other

Enumeration date
03/02/2018
Last updated
01/12/2022
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