Individual
DR. JOHN EGBEAZIEN OSHODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1065 N.E. 125 STREET,, SUITE 317A, MIAMI, FL 33161
(305) 623-5979
(305) 623-9414
Mailing address
PO BOX 551874, OPA LOCKA, FL 33055-0874
(305) 623-5979
(305) 623-0414
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0004933
FL
103TF0200X
Forensic Psychologist
PY0004933
FL
Other
Enumeration date
09/11/2006
Last updated
03/13/2015
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