Individual
DR. KAYLA KRYSTAL THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3301 COLLEGE AVE, FORT LAUDERDALE, FL 33314
(954) 262-5880
Mailing address
3301 COLLEGE AVE, FORT LAUDERDALE, FL 33314
(954) 262-5880
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10292
FL
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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