MEDICARE: SALUBRIOUS PSYCHOLOGICAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1427665322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALUBRIOUS PSYCHOLOGICAL SERVICES

Provider Business Mailing Address
First Line	:	6511 NOVA DR # 176
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33317-7401
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6511 NOVA DR # 176
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33317-7401
Country	:	US
Telephone Number	:	954-465-4177
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. IME EKONG
Credential	:	PSYD
Telephone Number	:	954-465-4177

Provider Enumeration Date	:	09/25/2020
Last Update Date	:	03/29/2021

Similar Medicare Providers

1609161769 — SADIE SANDERS CHIROPRACTIC INC
Practice Location Address:

6511 NOVA DR , #235
DAVIE, FL
33317-7401

Practice Phone: 217-871-4723
Practice Fax:

1902146731 — PUBLIX SUPER MARKETS INC
Practice Location Address:

6525 NOVA DR
DAVIE, FL
33317-7401

Practice Phone: 954-474-9027
Practice Fax: 954-840-8272

1306255492 — TRISHA DAVIN LCSW
Practice Location Address:

6511 NOVA DR STE 307
DAVIE, FL
33317-7401

Practice Phone: 786-290-5565
Practice Fax:

1952702359 — DR. CHIEN HO PHARM. D.
Practice Location Address:

6525 NOVA DR
DAVIE, FL
33317-7401

Practice Phone: 954-474-9027
Practice Fax:

1760906382 — IME MARCELLA EKONG PSYD
Practice Location Address:

6511 NOVA DR # 176
DAVIE, FL
33317-7401

Practice Phone: 954-465-4177
Practice Fax:

1730185281 — ROBERT M KUSTIN DC
Practice Location Address:

2240 SW 70TH AVE STE D
DAVIE, FL
33317-7112

Practice Phone: 954-430-8000
Practice Fax: 954-212-0150

Directions to “SALUBRIOUS PSYCHOLOGICAL SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.