Organization
CARMEN CORNIDE, PSY.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN CORNIDE PSY.D. (PRESIDENT)
(954) 443-0018
Entity
Organization
Contact information
Practice address
1601 N PALM AVE, SUITE 300, PEMBROKE PINES, FL 33026-3200
(954) 443-0018
(954) 236-6331
Mailing address
1601 N PALM AVE, SUITE 300, PEMBROKE PINES, FL 33026-3200
(954) 443-0018
(954) 236-6331
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5595
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54131
MEDICARE PROVIDER NUMBER
FL
Enumeration date
07/06/2015
Last updated
07/07/2015
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