Individual
DR. OREN DAVID WUNDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7600 SOUTHWEST 57TH AVE., SUITE 222, SOUTH MIAMI, FL 33143
(786) 236-0573
(305) 385-7164
Mailing address
7600 SOUTHWEST 57TH. AVE., SUITE 222, SOUTH MIAMI, FL 33143
(786) 236-0573
(305) 385-6174
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY3862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH255
MENTAL HEALTH COUNSELOR
FL
01
—
MT716
MARRIAGE & FAMILY THERAPI
FL
01
—
PY3862
PSYCHOLOGIST
FL
Enumeration date
04/23/2007
Last updated
07/08/2007
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