Individual
DR. JEFFREY IRVIN MUSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
534NE 13TH COURT, FORT LAUDERDALE, FL 33304-3607
(954) 828-9077
(954) 828-9077
Mailing address
534 NE 13TH CT, FORT LAUDERDALE, FL 33304-1112
(954) 828-9077
(954) 828-9077
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
4827
OH
103TC0700X
Clinical Psychologist
Primary
PY 7278
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2069096
—
OH
Enumeration date
06/23/2006
Last updated
09/18/2008
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