OrganizationActive
Clinical & Forensic Institute
NPI 1386860856 · Forensic Psychologist · Davie, FL
Provider details
- NPI number
- 1386860856
- Entity type
- Organization
- Primary specialty
- Forensic PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lori Butts, President(954) 434-8006
- License
- PY0006490 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
4801 S University Dr
Suite 301-East
Davie, FL 33328-3839
Phone: (954) 434-8006
Fax: (954) 434-0147
Approximate (ZIP-level) locationGet directions
Mailing address
4801 S University Dr
Davie, FL 33328-3839
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2009-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.