Provider Demographics
NPI:1861662694
Name:POLSYN, ABBE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ABBE
Middle Name:
Last Name:POLSYN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 NW 13TH ST STE 304-07
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-1641
Mailing Address - Country:US
Mailing Address - Phone:561-421-6183
Mailing Address - Fax:561-421-6183
Practice Address - Street 1:123 NW 13TH ST STE 304-07
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-1641
Practice Address - Country:US
Practice Address - Phone:561-421-6182
Practice Address - Fax:561-421-6183
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-07
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5744103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP67407Medicare UPIN
FL54221AMedicare PIN