| Richard S. Greenbaum Phd, Pa | |
|
1175 N.e. 125 St. #201 No. Miami FL 33161-2218 | |
| (305) 891-4821 | |
| (305) 891-4271 |
| Full Name | Richard S. Greenbaum Phd, Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1175 N.e. 125 St., No. Miami, Florida |
| Authorized Official Name and Position | Richard S Greenbaum (PRESIDENT) |
| Authorized Official Contact | 3058914821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard S. Greenbaum Phd, Pa 1175 N.e. 125 St. #201 No. Miami FL 33161-2218 Ph: (305) 891-4821 | Richard S. Greenbaum Phd, Pa 1175 N.e. 125 St. #201 No. Miami FL 33161-2218 Ph: (305) 891-4821 |
| NPI Number | 1184950933 |
|---|---|
| Provider Enumeration Date | 10/29/2009 |
| Last Update Date | 10/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184950933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY2247 (Florida) | Primary |