Sheridan Lynn Koplow Ed D PA
Psychologist, Counseling in Wellington, FL. Organization (NPI-2).
NPI number1851561997
StatusActive
Last updated in NPPESMar 5, 2008
Details
- NPI
- 1851561997
- Entity type
- Organization (NPI-2)
- Legal business name
- Sheridan Lynn Koplow Ed D PA
- Organization subpart
- No
- Enumeration date
- Mar 5, 2008
- Last updated
- Mar 5, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | PY6678 | FL | Yes |
Practice location
10111 W Forest Hill BlvdSuite 369
Wellington, FL 33414-6108
Phone 561-785-7767 · Fax 561-784-4626
Mailing address
10111 W Forest Hill BlvdSuite 369
Wellington, FL 33414-6108
Phone 561-785-7767 · Fax 561-784-4626
Authorized official
Sheridan Lynn Koplow
Psychologist President
5617847767
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