Organization
CLINICAL NEUROPSYCHOLOGY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL COLLINS PHD (NEUROPSYCHOLOGIST)
(754) 281-6634
Entity
Organization
Contact information
Practice address
200 OAKWOOD LN, 100, HOLLYWOOD, FL 33020-1929
(877) 711-2128
(877) 711-2128
Mailing address
8610 LAKESIDE BND, PARKLAND, FL 33076-2884
(877) 711-2128
(877) 711-2128
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PY9314
FL
311500000X
Alzheimer Center (Dementia Center)
PY9314
FL
Other
Enumeration date
09/08/2015
Last updated
11/02/2016
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