Provider Demographics
NPI:1073600466
Name:HALPERN, RICHARD (DR)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:HALPERN
Suffix:
Gender:M
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 NW 110TH TER
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-8202
Mailing Address - Country:US
Mailing Address - Phone:954-753-1011
Mailing Address - Fax:
Practice Address - Street 1:1231 NW 110TH TER
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-8202
Practice Address - Country:US
Practice Address - Phone:954-753-1011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL159761835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric