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Individual

DR. PENNY MICHELLE ABRAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
550 SE MIZNER BLVD APT B206, BOCA RATON, FL 33432-5581
(713) 906-9057
(623) 236-9484
Mailing address
PO BOX 457, BOCA RATON, FL 33429-0457
(713) 906-9057
(623) 236-9484

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20753
CA
103TC0700X
Clinical Psychologist
31110
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
57LV
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/03/2006
Last updated
06/30/2022
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