Individual
DR. JODI SAMUELS SHIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12651 W SUNRISE BLVD STE 102, SUNRISE, FL 33323-0906
(954) 587-7520
(954) 587-7527
Mailing address
12651 W SUNRISE BLVD STE 101, SUNRISE, FL 33323-0906
(954) 587-7520
(954) 587-7527
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY5687
FL
Other
Enumeration date
11/10/2010
Last updated
12/03/2020
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