| NPI | 1043587603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE PEDRO REDONDO President/CEO 305-551-9669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY3757) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: FL PY7540) |
| 103T00000X Psychologist (Licence: FL PY3757) | |
| 103T00000X Psychologist (Licence: FL PY7540) | |
| 103T00000X Psychologist (Licence: FL PY8034) | |
| 103T00000X Psychologist (Licence: FL PY8212) | |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: FL PY8034) | |
| 103TC0700X Psychologist Clinical (Licence: FL PY8034) | |
| 103TC0700X Psychologist Clinical (Licence: FL PY8212) | |
| 103TC0700X Psychologist Clinical (Licence: FL PY7540) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: FL PY8084) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: FL PY8212) | |
| 103TF0000X Psychologist Family (Licence: FL PY3757) | |
| 103TP0814X Psychologist Psychoanalysis (Licence: FL PY7540) | |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-12-05 |