Organization
BUILDING MOMENTUM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE ELIZABETH SIDBERRY PH.D. (PRESIDENT)
(954) 382-4889
Entity
Organization
Contact information
Practice address
300 S PINE ISLAND RD, SUITE 227, PLANTATION, FL 33324-2673
(954) 382-4889
(954) 382-4884
Mailing address
300 S PINE ISLAND RD, SUITE 227, PLANTATION, FL 33324-2673
(954) 382-4889
(954) 382-4884
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 6164
FL
Other
Enumeration date
10/11/2006
Last updated
10/15/2008
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