Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wilhelmina S. Koedam PHD PA

Organization Clinical Psychologist · NPI 1851698328

Wilhelmina S. Koedam PHD PA provides Clinical Psychologist services in Hallandale Beach, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

134 S Dixie Hwy Ste 104
Hallandale Beach, FL 33009-5423
Phone: (954) 895-4248
Fax: (954) 921-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY0003507 (FL)

Record details

NPI number1851698328
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wilhelmina Koedam — President/Licensed Psychologist · (954) 895-4248
NPI enumeratedFebruary 18, 2011
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024
Mailing address2999 N.E. 191 St., Suite 701, Aventura, FL 33180

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