Organization
LADONNA DAHL,PSY.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LADONNA DAHL PSY.D. (PRESIDENT/PHYSICIAN)
(786) 512-9983
Entity
Organization
Contact information
Practice address
1101 N CONGRESS AVE, SUITE 202, BOYNTON BEACH, FL 33426-3336
(786) 512-9983
(561) 369-3275
Mailing address
303 S BROADWAY, SUITE 6, LANTANA, FL 33462-3173
(786) 512-9983
(561) 369-3275
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY8020
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY8020
MEDICAL LICENSE
FL
Enumeration date
01/24/2013
Last updated
01/24/2013
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