Individual
DR. J MICHAEL ATWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4362 NORTHLAKE BLVD, SUITE 108, PALM BEACH GARDENS, FL 33410-6275
(561) 694-1887
(561) 626-2131
Mailing address
4362 NORTHLAKE BLVD, SUITE 108, PALM BEACH GARDENS, FL 33410-6275
(561) 694-1887
(561) 626-2131
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0003419
FL
Other
Enumeration date
11/23/2005
Last updated
07/31/2020
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