| NPI | 1063994754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK R PEREZ-VERDECIA Neuropsychologist 305-917-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY8713) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL PY8713) |
| 103K00000X Behavior Analyst (Licence: FL PY8713) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY8713) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: FL PY8713) | |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2021-08-03 |