MEDICARE: DR. REBECCA AMSTER PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	018784-1	NY
2	103TC0700X	Clinical Psychologist	PY9224	FL

General Provider Information

NPI Number	:	1861792657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA AMSTER PSY.D.

Provider Business Mailing Address
First Line	:	3991 N 41ST CT
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-1818
Country	:	US
Telephone Number	:	305-928-8140
Fax Number	:

Provider Business Practice Location Address
First Line	:	17501 BISCAYNE BLVD
Second Line	:	SUITE 450
City	:	AVENTURA
State	:	FL
Zip	:	33160-4802
Country	:	US
Telephone Number	:	305-933-5733
Fax Number	:	305-933-5233

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2010
Last Update Date	:	03/10/2015

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