Provider Demographics
NPI:1356731921
Name:CARYN WATSKY-SCILEPPI, PH.D., P.A.
Entity type:Organization
Organization Name:CARYN WATSKY-SCILEPPI, PH.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSKY-SCILEPPI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-776-1767
Mailing Address - Street 1:10928 NW 18TH DR
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-3442
Mailing Address - Country:US
Mailing Address - Phone:305-776-1767
Mailing Address - Fax:954-423-0901
Practice Address - Street 1:10928 NW 18TH DR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-3442
Practice Address - Country:US
Practice Address - Phone:305-776-1767
Practice Address - Fax:954-423-0901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8840251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health