| NPI | 1033601653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA HERMNANDEZ Billing Manager 954-203-3584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-06-08 |