Healthcare Provider Details

I. General information

NPI: 1568397610
Provider Name (Legal Business Name): AMY BRAVO CLINICAL PSYCHOLOGIST PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 MAIN ST STE 217
WESTON FL
33326-3670
US

IV. Provider business mailing address

3813 HERON RIDGE LN
WESTON FL
33331-3721
US

V. Phone/Fax

Practice location:
  • Phone: 954-385-8884
  • Fax: 954-385-6911
Mailing address:
  • Phone: 954-849-6663
  • Fax: 954-385-6911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. AMY GAIL BRIEF BRAVO
Title or Position: OWNER
Credential: PSYD
Phone: 954-849-6663