Basic Information
| Provider Information | |||||||||
| NPI: | 1508889981 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RABINOVITZ | ||||||||
| FirstName: | SHARON | ||||||||
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| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2710 HACKNEY RD | ||||||||
| Address2: | |||||||||
| City: | WESTON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333313001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3053898459 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 S PINE ISLAND RD | ||||||||
| Address2: | STE 230 | ||||||||
| City: | PLANTATION | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333242613 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9543702140 | ||||||||
| FaxNumber: | 9549161252 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2006 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | PY3174 | FL | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.