Organization
RIVERSIDE PSYCHOLOGICAL GROUP
Active
Other names
Human Factor Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH JOHN CIMINO PSYD (OWNER PRESIDENT)
(954) 755-4778
Entity
Organization
Contact information
Practice address
1801 UNIVERSITY DRIVE, PENTHOUSE A, CORAL SPRINGS, FL 33071
(954) 755-4778
(954) 755-0240
Mailing address
1801 UNIVERSITY DRIVE, PENTHOUSE SUITE A, CORAL SPRINGS, FL 33071
(954) 755-4778
(954) 755-0240
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0004734
FL
103TC0700X
Clinical Psychologist
PY4734
FL
Other
Enumeration date
11/26/2007
Last updated
04/07/2008
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