MEDICARE: DR. EMILY KRESTOW PHD

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	101YM0800X	Mental Health Counselor	MH443	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Z1946	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1760439806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY KRESTOW PHD

Provider Business Mailing Address
First Line	:	2450 HOLLYWOOD BLVD
Second Line	:	SUITE 406
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-6619
Country	:	US
Telephone Number	:	954-929-4199
Fax Number	:

Provider Business Practice Location Address
First Line	:	2450 HOLLYWOOD BLVD
Second Line	:	SUITE 406
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-6619
Country	:	US
Telephone Number	:	954-929-4199
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1992634182 — ZYREX DIAGNOSTICS LLC
Practice Location Address:

2450 HOLLYWOOD BLVD STE 702
HOLLYWOOD, FL
33020-6619

Practice Phone: 954-395-0100
Practice Fax:

1316272677 — DR. PATRICIA JAEGERMAN PSY.D.
Practice Location Address:

2450 HOLLYWOOD BLVD , SUITE 200A
HOLLYWOOD, FL
33020-6619

Practice Phone: 954-667-7176
Practice Fax:

1104130095 — SAHARI INVESTMENTS LLC
Practice Location Address:

2450 HOLLYWOOD BLVD , SUITE 606
HOLLYWOOD, FL
33020-6619

Practice Phone: 954-785-8910
Practice Fax: 954-926-7710

1598022451 — LIGHTHOUSE PSYCHOLOGISTS LLC
Practice Location Address:

2450 HOLLYWOOD BLVD , SUITE 200A
HOLLYWOOD, FL
33020-6619

Practice Phone: 954-667-7176
Practice Fax:

1861803363 — PATRICIA JAEGERMAN, PSY.D.
Practice Location Address:

2450 HOLLYWOOD BLVD , SUITE 200A
HOLLYWOOD, FL
33020-6619

Practice Phone: 954-325-4853
Practice Fax:

1417312323 — SUSAN E. KORTLANDER, PH.D., P.A.
Practice Location Address:

2450 HOLLYWOOD BLVD # 200
HOLLYWOOD, FL
33020-6619

Practice Phone: 305-675-9200
Practice Fax: 305-672-9500

Directions to “ DR. EMILY KRESTOW PHD” 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.