Organization · NPI-2
Expert Psychological Associates, LLC
Psychologist, Clinical · Port Saint Lucie, FL
NPI number1306133244
StatusActive
Last updated in NPPESJun 16, 2018
Details
- NPI
- 1306133244
- Entity type
- Organization (NPI-2)
- Legal business name
- Expert Psychological Associates, LLC
- Organization subpart
- No
- Enumeration date
- Jun 29, 2011
- Last updated
- Jun 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY8016 | FL | Yes |
| 103TF0200X | Psychologist, Forensic | PY8016 | FL | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Other names
- George Zaky, Psy.D., Lmhc, LLC (Former Legal Business Name)
- Expert Psychological Associates, LLC (Other Name)
Practice location
447 Nw Prima Vista BlvdPort Saint Lucie, FL 34983-8731
Phone 772-249-2593
Mailing address
447 Nw Prima Vista BlvdPort Saint Lucie, FL 34983-8731
Phone 772-249-2593
Other practice locations
341 Se 2nd St
Belle Glade, FL 33430-3509
Belle Glade, FL 33430-3509
Phone 772-249-2593
Authorized official
George Zaky
Psychologist/President
7722492593
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