Individual
HABEEBET MOMOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17076 NW 17TH ST, PEMBROKE PINES, FL 33028-1354
(786) 897-0213
Mailing address
17076 NW 17TH ST, PEMBROKE PINES, FL 33028-1354
(786) 897-0213
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
000399500
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000399500
—
FL
Enumeration date
03/18/2010
Last updated
03/18/2010
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