DR. ALLISON MOTEN, P.A.
Psychologist at 3 Ave, Fort Lauderdale, FL

License number
Florida PY7569
Category
Psychologist
Type
Psychologist
Owner
Name: ALLISON MOTEN PSY.D.
Title: PRESIDENT, PSYCHOLOGIST
Phone: (954) 600-6345
Address
Address
101 NE 3Rd Ave SUITE 1500, Fort Lauderdale, FL 33301
National Provider ID: 1912132895
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. ALLISON MOTEN, PA

101 NE 3 Ave SUITE 1500, Fort Lauderdale, FL 33301

Status:
Inactive
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Jun 6, 2008
Inactive since:
Nov 12, 2010
State ID:
P08000055552
Business type:
Florida Profit Corporation
Presidents:
Allison Cpsy.d. Moten (President), 101 NE 3 Ave SUITE 1500, Fort Lauderdale, FL 33301 (Physical),Allison C. Caporale President, inactive
Agent:
Allison Moten,101 NE 3 Ave SUITE 1500, Fort Lauderdale, FL 33301 (Physical)
EIN:
26-1109366

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