Individual
MS. JENNIFER DAVIDTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7501 NW 4TH ST, PLANTATION, FL 33317-2245
(954) 774-0304
Mailing address
7501 NW 4TH ST, PLANTATION, FL 33317-2245
(954) 774-0304
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
02/03/2015
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