Individual
JUSTIN KOHLHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5100 NOB HILL RD, SUNRISE, FL 33351
(954) 315-8697
Mailing address
5100 NOB HILL RD, SUNRISE, FL 33351
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
12/23/2015
Last updated
12/24/2015
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