Abraham, Kondoor Verghese

Abraham, Kondoor Verghese is an sole proprietor health care provider with primary practice located at 1750 Sw 116 Ave., , Davie FL 33325. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Abraham, Kondoor Verghese can be contacted via phone (954) 916-1200.

Contact Information

Primary practice address
1750 Sw 116 Ave., Davie FL 33325
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH1215 Florida

Profile Details

NPI number 1811224454
LBN Legal business name Abraham, Kondoor Verghese
Credentials PSY.D., LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2009
Last updated Nov 3rd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811224454 NPPES
Florida Other MH1215 LICENSED MENTAL HEALTH COUNSELOR

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