Dr. Dimitra Theoharis, PsyD., LMHC, P.A.
Counselor, Mental Health in Pompano Beach, FL. Individual provider (NPI-1).
NPI number1528085461
StatusActive
Last updated in NPPESJan 15, 2010
Details
- NPI
- 1528085461
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dimitra Theoharis
- Credential
- PsyD., LMHC, P.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2006
- Last updated
- Jan 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MH5963 | FL | Yes |
Practice location
150 E Sample RdSuite # 340
Pompano Beach, FL 33064-3550
Phone 954-783-0035 · Fax 954-943-2771
Mailing address
150 E Sample RdSuite 340
Pompano Beach, FL 33064-3550
Phone 954-783-0035 · Fax 954-943-2771
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