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Organization

ADDYS PRIETO PSYD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADDYS PRIETO PSYD (CLINICAL PSYCHOLOGIST/PRESIDENT)
(954) 802-0758
Entity
Organization

Contact information

Practice address
1601 N PALM AVE, SUITE 300, PEMBROKE PINES, FL 33026-3200
(954) 802-0758
(954) 252-5360
Mailing address
1601 N PALM AVE, SUITE 300, PEMBROKE PINES, FL 33026-3200
(954) 802-0758
(954) 252-5360

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 5686
FL

Other

Enumeration date
06/22/2015
Last updated
06/22/2015
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