| Dimitra Theoharis Psyd Lmhc Pa | |
|
150 E Sample Rd Suite 340 Pompano Beach FL 33064-3550 | |
| (954) 783-0035 | |
| (954) 943-2771 |
| Full Name | Dimitra Theoharis Psyd Lmhc Pa |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 150 E Sample Rd, Pompano Beach, Florida |
| Authorized Official Name and Position | Dimitra Theoharis (PRESIDENT) |
| Authorized Official Contact | 9547830035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dimitra Theoharis Psyd Lmhc Pa 150 E Sample Rd Suite 340 Pompano Beach FL 33064-3550 Ph: (954) 783-0035 | Dimitra Theoharis Psyd Lmhc Pa 150 E Sample Rd Suite 340 Pompano Beach FL 33064-3550 Ph: (954) 783-0035 |
| NPI Number | 1841612496 |
|---|---|
| Provider Enumeration Date | 01/16/2014 |
| Last Update Date | 01/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841612496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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