Provider Demographics
NPI:1598825481
Name:DOLINSKY, LARRY BURTON (LMFT)
Entity Type:Individual
Prefix:MR
First Name:LARRY
Middle Name:BURTON
Last Name:DOLINSKY
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 N UNIVERSITY DR
Mailing Address - Street 2:PENTHOUSE - A
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-8920
Mailing Address - Country:US
Mailing Address - Phone:954-755-4778
Mailing Address - Fax:954-755-0240
Practice Address - Street 1:1801 N UNIVERSITY DR
Practice Address - Street 2:PENTHOUSE - A
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-8920
Practice Address - Country:US
Practice Address - Phone:954-755-4778
Practice Address - Fax:954-755-0240
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1687106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMT1687OtherLIC. MARRIAGE AND FAMILY