Organization
J M ATWATER, PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J M ATWATER PH.D. (OWNER)
(561) 694-1887
Entity
Organization
Contact information
Practice address
4362 NORTHLAKE BLVD, SUITE 108, PALM BEACH GARDENS, FL 33410-6275
(561) 694-1887
(561) 626-2131
Mailing address
4362 NORTHLAKE BLVD, SUITE 108, PALM BEACH GARDENS, FL 33410-6275
(561) 694-1887
(561) 626-2131
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0003419
FL
Other
Enumeration date
02/13/2016
Last updated
02/13/2016
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