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NPI Code Detail

MEDICARE: VERONICA GROSSE-CARDINALE PSYD

MEDICARE: VERONICA GROSSE-CARDINALE PSYD
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
1103T00000XPsychologistPY12359FL

General Provider Information

NPI Number : 1710590559
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA GROSSE-CARDINALE PSYD
Provider Business Mailing Address
First Line : 200 E HALLANDALE BEACH BLVD
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-5525
Country : US
Telephone Number : 954-362-8677
Fax Number : 954-458-8167
Provider Business Practice Location Address
First Line : 4765 W ATLANTIC AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-3838
Country : US
Telephone Number : 954-453-2273
Fax Number : 954-458-8167
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2020
Last Update Date : 09/12/2024

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Directions to “ VERONICA GROSSE-CARDINALE PSYD” Practice Location

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