Organization
REGINA M PAVONE PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA M PAVONE PHD (DIRECTOR)
(305) 756-9551
Entity
Organization
Contact information
Practice address
9999 NE 2ND AVE, SUITE 202, MIAMI SHORES, FL 33138-2352
(305) 756-9551
Mailing address
9999 NE 2ND AVE, SUITE 202, MIAMI SHORES, FL 33138-2352
(305) 756-9551
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5844
FL
Other
Enumeration date
08/16/2006
Last updated
06/25/2008
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