Organization
JERI HOSICK, PH.D., LMHC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERI HOSICK PH.D., LMHC (PRESIDENT, VP, S, T)
(561) 795-6296
Entity
Organization
Contact information
Practice address
1402 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL 33411-1691
(561) 792-7755
(561) 792-0399
Mailing address
PO BOX 210746, WEST PALM BEACH, FL 33421-0746
(561) 795-6296
(561) 792-0399
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MH 2784
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH 0002784
STATE OF FLORIDA
FL
Enumeration date
05/09/2012
Last updated
05/09/2012
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