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Organization

SHATHA ATIYA, PSY.D.,P.A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHATHA ATIYA PSY.D. (CLINICAL PSYCHOLOGIST)
(954) 478-6686
Entity
Organization

Contact information

Practice address
915 MIDDLE RIVER DR, SUITE 307, FORT LAUDERDALE, FL 33304-3544
(954) 478-6686
(954) 476-2369
Mailing address
915 MIDDLE RIVER DR, SUITE 307, FORT LAUDERDALE, FL 33304-3544
(954) 478-6686
(954) 476-2369

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7737
FL

Other

Enumeration date
03/23/2009
Last updated
03/23/2009
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