Healthcare Provider Details

I. General information

NPI: 1699926998
Provider Name (Legal Business Name): KARIN HOLDEN-ALFARO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2008
Last Update Date: 10/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 STIRLING RD STE. 6
HOLLYWOOD FL
33024-8067
US

IV. Provider business mailing address

10000 STIRLING RD STE. 6
HOLLYWOOD FL
33024-8067
US

V. Phone/Fax

Practice location:
  • Phone: 954-436-8326
  • Fax: 954-433-0603
Mailing address:
  • Phone: 954-436-8326
  • Fax: 954-433-0603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY7695
License Number StateFL

VIII. Authorized Official

Name: DR. KARIN MICHELE HOLDEN-ALFARO
Title or Position: LICENSED CLINICAL PSYCHOLOGIST
Credential: PSY.D.
Phone: 954-436-8326