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PROFESSIONAL PSYCHOLOGICAL SERVICES, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
GROSSMAN ALISON P Agent 1108 KANE CONCOURSE, BAY HARBOR ISLANDS, FL, 33154

President

Name Role Address
GROSSMAN ALISON P President 1108 KANE CONCOURSE, SUITE 207, BAY HARBOR ISLANDS, FL, 33154

Director

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