Healthcare Provider Details

I. General information

NPI: 1093852527
Provider Name (Legal Business Name): CME PSYCHOLOGY CONSULTANTS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 LAKE IDA RD SUITE 4
DELRAY BEACH FL
33445-2442
US

IV. Provider business mailing address

2100 LAKE IDA RD SUITE 4
DELRAY BEACH FL
33445-2442
US

V. Phone/Fax

Practice location:
  • Phone: 561-266-0069
  • Fax:
Mailing address:
  • Phone: 561-266-0069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY0003605
License Number StateFL

VIII. Authorized Official

Name: DR. KAREN R RAPAPORT
Title or Position: OWNER
Credential: PH.D.
Phone: 561-266-0069