NPI 1003108077

Lauren K. Grodin, PSYD

Practitioner Clinical Psychologist Hollywood, FL

Practice location

Address: 1150 N 35th Ave STE 525, Hollywood, FL 33021-5431
Phone: (954) 265-6966
Fax: (954) 265-6950
Mailing address: 2900 Corporate Way Door D, Miramar, FL 33025-3925

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PY8571 (FL)

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Registry record

NPI: 1003108077
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2011
Record last updated: 15 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.