| NPI | 1003527094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARNELL COLEBROOK-CLAUDE Owner 954-686-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TE1100X Psychologist, Exercise & Sports | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 101YM0800X Counselor, Mental Health | |
| 103TF0000X Psychologist, Family | |
| 103TF0200X Psychologist, Forensic | |
| 103TH0004X Psychologist, Health | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 103TP0814X Psychologist, Psychoanalysis | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2025-08-06 |