Provider Demographics
NPI:1912938622
Name:AUERBACH, JOHN S (PHD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:S
Last Name:AUERBACH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6965 SOUTHPORT DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-6917
Mailing Address - Country:US
Mailing Address - Phone:352-213-6711
Mailing Address - Fax:352-363-5650
Practice Address - Street 1:130 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3357
Practice Address - Country:US
Practice Address - Phone:352-213-6711
Practice Address - Fax:352-363-5650
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP0000002020103TC0700X
FLPY9032103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical