Individual
DR. JEROME HARRY POLIACOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4120 CRAWFORD AVE, MIAMI, FL 33133-6127
(305) 624-7900
Mailing address
4120 CRAWFORD AVE, MIAMI, FL 33133-6127
(305) 624-7900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY3449
FL
103T00000X
Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
05/08/2006
Last updated
03/16/2024
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