Individual
DR. MELISSA ANN KWAVNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2741 EXECUTIVE PARK DR STE 1, WESTON, FL 33331-3641
(954) 385-6750
Mailing address
10631 PARIS ST, HOLLYWOOD, FL 33026-4822
(954) 465-0372
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7648
FL
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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