Healthcare Provider Details
I. General information
NPI: 1386570224
Provider Name (Legal Business Name): PRECISION PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12115 NATALIES COVE RD
COOPER CITY FL
33330-5448
US
IV. Provider business mailing address
12115 NATALIES COVE RD
COOPER CITY FL
33330-5448
US
V. Phone/Fax
- Phone: 954-406-7092
- Fax:
- Phone: 954-406-7092
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JACLYN
TERESITA
DUJARRIC
Title or Position: AUTHORIZED OFFICIAL
Credential: PSY.D.
Phone: 954-406-7092