| NPI | 1073649232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELYN G SMITH Mgrm 305-804-5418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7219) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL PY7219) |
| 103T00000X Psychologist (Licence: FL PY7219) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: FL PY7219) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY7219) | |
| 103TF0000X Psychologist, Family (Licence: FL PY7219) | |
| 103TH0100X Psychologist, Health Service (Licence: FL PY7219) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: FL PY7219) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: FL PY7219) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: FL PY7219) | |
| 103TH0004X Psychologist, Health (Licence: FL PY7219) | |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2014-07-01 |