Organization
CENTER FOR PSYCHOLOGICAL AND FORENSIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHY ROSALIE NICHOLLS PSY.D. (PRESIDENT/CLINICAL DIRECTOR)
(561) 370-4469
Entity
Organization
Contact information
Practice address
6801 LAKE WORTH RD, SUITE 122, GREENACRES, FL 33467-2955
(561) 318-5340
Mailing address
6801 LAKE WORTH RD, SUITE 122, GREENACRES, FL 33467-2955
(561) 318-5340
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8492
FL
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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