| Lakeshore Psychotherapy Group Llc | |
|
6992 Calle Del Paz W Boca Raton FL 33433-6426 | |
| (312) 208-6366 | |
| Not Available |
| Full Name | Lakeshore Psychotherapy Group Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6992 Calle Del Paz W, Boca Raton, Florida |
| Authorized Official Name and Position | Jeff Seiden (MANAGER) |
| Authorized Official Contact | 3123443022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Psychotherapy Group Llc Po Box 295 Northbrook IL 60065-0295 Ph: (312) 208-6366 | Lakeshore Psychotherapy Group Llc 6992 Calle Del Paz W Boca Raton FL 33433-6426 Ph: (312) 208-6366 |
| NPI Number | 1578001285 |
|---|---|
| Provider Enumeration Date | 02/02/2017 |
| Last Update Date | 06/14/2025 |
| Certification Date | 05/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578001285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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