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Organization

SHERIDAN LYNN KOPLOW ED D PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHERIDAN LYNN KOPLOW ED D (PSYCHOLOGIST PRESIDENT)
(561) 784-7767
Entity
Organization

Contact information

Practice address
10111 W FOREST HILL BLVD, SUITE 369, WELLINGTON, FL 33414-6108
(561) 785-7767
(561) 784-4626
Mailing address
10111 W FOREST HILL BLVD, SUITE 369, WELLINGTON, FL 33414-6108
(561) 785-7767
(561) 784-4626

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY6678
FL

Other

Enumeration date
03/05/2008
Last updated
03/05/2008
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