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Contact Information

JESSICA KETTERER, PhD
603 N FLAMINGO RD
SUITE 151
PEMBROKE PINES, FL33028-1023
 Phone: 954-265-4325
 Fax: 954-443-4747
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JESSICA KETTERER · (Female)

NPI # 1457717639
Status Active
Credentials PhD
Entity Individual
Enumeration date 01/04/2016
Last updated 03/19/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PY9462
Hospital affiliation(s)
  • MEMORIAL HOSPITAL WEST - (Acute Care)
    703 N FLAMINGO RD
    PEMBROKE PINES, FL 33028
  • MEMORIAL REGIONAL HOSPITAL - (Acute Care)
    3501 JOHNSON ST
    HOLLYWOOD, FL 33021
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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