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Provider Information for 1386775617


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Dr. ROBERT J. CIPRIANO Jr. Psy.D.


Sex: Male

NPI: 1386775617
Last Updated: 2019-10-21
Certification Date:

Details

NameValue
NPI1386775617
Enumeration Date2007-03-08
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 10031 PINES BLVD STE 240
PEMBROKE PINES, FL 33024-6180
United States

Phone: 305-528-7309 | Fax:
 
Primary Practice Address 10031 PINES BOULEVARD
(SUITE 240)
PEMBROKE PINES, FL 33024-6180
United States

Phone: 305-528-7309 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 103T00000X - Psychologist FLPY6632
Yes 103TC0700X - Psychologist - ClinicalFLPY6632