Richard S. Greenbaum Phd, PA

NPI #1184950933 in No. Miami, Florida

Provider Information

NPI Number: 1184950933
Entity Type: Organization
Organization Name: Richard S. Greenbaum Phd, PA
Primary Specialty: Psychologist - Clinical
Enumeration Date: Oct 29, 2009
Last Updated: Oct 29, 2009

Practice Location

Address: 1175 N.E. 125 ST.
Address 2: #201
City: No. Miami
State: Florida
ZIP Code: 33161-2218
Phone: (305) 891-4821

Authorized Official

Name: RICHARD S GREENBAUM, PHD, P.A.
Title: PRESIDENT
Phone: (305) 891-4821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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