Individual
DR. PAUL MODESTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
22456 ENSENADA WAY, BOCA RATON, FL 33433-4627
(561) 213-8865
Mailing address
5301 N FEDERAL HWY, SUITE 270, BOCA RATON, FL 33487-4910
(561) 241-6628
(561) 241-8651
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2368
FL
Other
Enumeration date
02/20/2007
Last updated
07/12/2024
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