Provider Demographics
NPI:1982796223
Name:ABRAMS, DAVID J (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:13484 JONQUIL CT
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-8551
Mailing Address - Country:US
Mailing Address - Phone:561-706-3646
Mailing Address - Fax:561-364-8803
Practice Address - Street 1:950 N CONGRESS AVE
Practice Address - Street 2:SUITE J230
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-3328
Practice Address - Country:US
Practice Address - Phone:561-706-3646
Practice Address - Fax:561-364-8803
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6554103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE7752ZMedicare ID - Type Unspecified