Healthcare Provider Details

I. General information

NPI: 1487735239
Provider Name (Legal Business Name): RALPH EUGENE CASH PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 12/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2699 STIRLING RD SUITE B305
FORT LAUDERDALE FL
33312-6517
US

IV. Provider business mailing address

2699 STIRLING RD SUITE B305
FORT LAUDERDALE FL
33312-6517
US

V. Phone/Fax

Practice location:
  • Phone: 954-963-5363
  • Fax: 954-963-7099
Mailing address:
  • Phone: 954-963-5363
  • Fax: 954-963-7099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY2104
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: