| NPI | 1013471614 |
|---|---|
| Doing Business As | MEMORIAL DIVISION OF PEDIATRIC PSYCHOLOGY SERVICES |
| Entity Type | Organization |
| Authorized Contact | NINA BEAUCHESNE Executive Vice President 954-265-3451 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |