DR. LYDIA ROSA MALCOLM


Address: 11820 Miramar Pkwy Ste 309, Miramar, FL 33025
Phone: 9547155477

DR. LYDIA ROSA MALCOLM (NPI# 1598267809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598267809
Entity Type Individual
Full Name DR. LYDIA ROSA MALCOLM
Credential PHD
Practice Address 11820 Miramar Pkwy Ste 309
Miramar
FL 33025
Mailing Address 18459 Pines Blvd # 120
Pembroke Pines
FL 33029-1400
Practice Telephone 9547155477
Mailing Telephone 9547155477
Enumeration Date 2018-03-02
Last Update Date 2020-09-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PY10094 FL Behavioral Health & Social Service Providers

Office Location

Street Address 11820 MIRAMAR PKWY STE 309
City MIRAMAR
State FL
Zip Code 33025

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487157715 Authentic Behavioral Health, LLC Psychologist 11820 Miramar Pkwy Ste 309, Miramar, FL 33025 2018-03-13

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NPI Name Taxonomy Address Enumeration
1538702329 Ashley V Carter Nutritionist 3803 Sw 93rd Ave, Miramar, FL 33025 2019-10-24
1477024305 Jeff Rocker Counselor 10700 City Center Blvd Apt 5245, Pembroke Pines, FL 33025 2018-12-17
1760959779 Spring Health Inc In Home Supportive Care 1799 Sw 82nd Pl, Miramar, FL 33025 2018-10-28
1649763004 Ann-marie Elizabeth Pryce Nurse Practitioner 8942 Sw 19th St, Miramar, FL 33025 2018-06-11
1588154876 Michelle Angelle Crawford Behavior Technician 10630 Washington St Apt 103, Pembroke Pines, FL 33025 2018-05-14
1447760657 At Talitha Cumi Home Care, Inc. Homemaker 3140 Sw 120 Terr, Miramar, FL 33025 2017-10-03
1962924522 Yenni Celina Cueto Behavioral Analyst 720 Sw 111th Ave Apt 303, Pembroke Pines, FL 33025 2017-07-14
1093236713 Manoucheca Fabienne Phanord Nurse Practitioner 11575 City Hall Promenade, #4-150, Miramar, FL 33025 2017-07-03
1659801439 Desiree Verina Nugent Family Medicine 3772 Sw 93rd Ave, Miramar, FL 33025 2017-06-14
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497979009 Lynnette Austin Psychologist 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 2007-04-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336740224 North Florida Collaborative Therapy Psychologist 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 2020-11-05
1922607381 Michelle Mcnally Psychologist 6945 Halton Park Ln, Coconut Creek, FL 33073-2170 2020-10-18
1427665322 Salubrious Psychological Services Psychologist 865 Nw 208th Cir, Pembroke Pines, FL 33029-1908 2020-09-25
1396351979 Daniela Oliveira De Medeiros Psychologist 111 Majorca Ave # B, Coral Gables, FL 33134-4508 2020-09-19
1235744327 Lisa Stewart Psychologist 13000 Bruce B Downs Blvd Bldg 68, Tampa, FL 33612-4745 2020-09-15
1265047047 Anissa York Psychologist 6760 Congress Ave Apt 203, Boca Raton, FL 33487-1242 2020-09-09
1154935781 Caressa Alice Slocum Psychologist 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 2020-09-01
1497365399 Julia L Sheffler Psychologist 1126b Lee Ave, Tallahassee, FL 32303-6508 2020-08-05
1801413315 Steven David Macchione Psychologist 328 Nw 97th Ave, Plantation, FL 33324-7068 2020-06-30
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Competitor

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City MIRAMAR
Zip Code 33025

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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