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NPI 1003715608

NPI 1003715608 : SAFE PATH PSYCHOLOGICAL SERVICES : FORT LAUDERDALE, FL

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General NPI Number Information
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    NPI Number           |    1003715608
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAFE PATH PSYCHOLOGICAL SERVICES 
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Dates
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    Enumeration Date     |    11/02/2026
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    Last Update Date     |    11/05/2026
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Provider Practice Location Address
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    Address Line         |    1451 W CYPRESS CREEK RD STE 300 
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    City                 |    FORT LAUDERDALE
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    State                |    FL
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    Zip                  |    33309-1953
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    Country              |    US
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    Telephone            |    954-231-1111
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1323 SE 17TH ST # 1088 
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    City                 |    FORT LAUDERDALE
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    State                |    FL
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    Zip                  |    33316-1707
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    Country              |    US
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    Telephone            |    954-231-1111
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. LATASHA  DEAN 
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    Credential           |    PSYD
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    Telephone            |    954-632-5644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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