Individual
DR. LISA WASSERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., ATR-BC
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 985-5809
Mailing address
14811 ARCHERHALL ST, DAVIE, FL 33331-2955
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
96-180
FL
Other
Enumeration date
12/17/2006
Last updated
07/08/2007
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