Michelle R Demenkow, Pa in Sunrise - Clinical

Michelle R Demenkow, Pa - NPI 1962435271

Michelle R Demenkow, Pa is a Clinical in Sunrise, Florida. Michelle R Demenkow, Pa practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michelle R Demenkow, Pa is 1962435271. The last update date is 2020-05-20.

Michelle R Demenkow, Pa's current location address is 14201 W Sunrise Blvd Ste 208, Sunrise, Florida. You can contact this provider via phone number 9548519690. The mailing address for Michelle R Demenkow, Pa is 14201 W Sunrise Blvd Ste 208, Sunrise, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Michelle R Demenkow, Pa
Address 14201 W Sunrise Blvd Ste 208, Sunrise, Florida
Phone Number 9548519690
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Demenkow R Michelle
Credentials PH.D.
Telephone Number 9548568703

NPI Number Detail

NPI Number 1962435271
Provider Enumeration Date 2006-07-09
Last Updated Date 2020-05-20

Provider Mailing Address Detail

Address 14201 W Sunrise Blvd Ste 208
City Sunrise
State Florida (FL)
Post Code 333233207
Phone Number 9548519690
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PY6763
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about Michelle R Demenkow, Pa

What is the Michelle R Demenkow, Pa's unique identification number?

The Michelle R Demenkow, Pa has been assigned the NPI (National Provider Identifier) Number 1962435271 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Michelle R Demenkow, Pa is located?

The Michelle R Demenkow, Pa is situated at the following address: 14201 W Sunrise Blvd Ste 208, Sunrise, FL, 333233207.

What is the Michelle R Demenkow, Pa's area of specialization and corresponding taxonomy classification?

The Michelle R Demenkow, Pa's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.

On what date did Michelle R Demenkow, Pa receive its 1962435271 assignment from the Centers for Medicare & Medicaid Services?

The Michelle R Demenkow, Pa was assigned its 1962435271 on 2006-07-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Michelle R Demenkow, Pa last refreshed?

The information related to the Michelle R Demenkow, Pa, including its address, specialty, and other relevant details, was last updated on 2020-05-20.

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