Organization
WILHELMINA S. KOEDAM PHD P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILHELMINA S. KOEDAM PH.D (PRESIDENT/LICENSED PSYCHOLOGIST)
(954) 895-4248
Entity
Organization
Contact information
Practice address
134 S DIXIE HWY STE 104, HALLANDALE BEACH, FL 33009-5423
(954) 895-4248
(954) 921-5200
Mailing address
2999 N.E. 191 ST., SUITE 701, AVENTURA, FL 33180
(305) 653-0098
(305) 937-2541
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0003507
FL
Other
Enumeration date
02/18/2011
Last updated
03/18/2024
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