Organization Name: | PROFESSIONAL PSYCHOLOGICAL SERVICES INC |
NPI Number: | 1487842175 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALISON BETH GROSSMAN (PRESIDENT) |
Mailing Address: | 1108 Kane Concourse Suite 207 Bay Harbor Islands |
State: | FL US |
Postal Code: | 331542068 |
Phone Number: | 3056065093 |
Fax Number: | 3052859430 |
NPI Enumeration Date: | 10/09/2007 |
NPI Last Update Date: | 07/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY6417 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |