Entity Name: | PROFESSIONAL PSYCHOLOGICAL SERVICES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 23 Aug 2001 (23 years ago) |
Document Number: | P01000083347 |
FEI/EIN Number | 651144894 |
Mail Address: | 1108 Kane Concourse, Bay Harbor Islands, FL, 33154, US |
Address: | 1108 KANE CONCOURSE, 207, BAY HARBOR ISLANDS, FL, 33154, US |
ZIP code: | 33154 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1487842175 | 2007-10-09 | 2013-07-08 | 1108 KANE CONCOURSE, SUITE 207, BAY HARBOR ISLANDS, FL, 331542068, US | 1108 KANE CONCOURSE, SUITE 207, BAY HARBOR ISLANDS, FL, 331542068, US | |||||||||||||||||||
|
Phone | +1 305-606-5093 |
Fax | 3052859430 |
Authorized person
Name | DR. ALISON BETH GROSSMAN |
Role | PRESIDENT |
Phone | 3056065093 |
Taxonomy
Taxonomy Code | 103TC0700X - Clinical Psychologist |
License Number | PY6417 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GROSSMAN ALISON P | Agent | 1108 KANE CONCOURSE, BAY HARBOR ISLANDS, FL, 33154 |
Name | Role | Address |
---|---|---|
GROSSMAN ALISON P | President | 1108 KANE CONCOURSE, SUITE 207, BAY HARBOR ISLANDS, FL, 33154 |
Name | Role | Address |
---|---|---|
GROSSMAN ALISON P | Director | 1108 KANE CONCOURSE, SUITE 207, BAY HARBOR ISLANDS, FL, 33154 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State