| NPI | 1164727814 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PHIL HELLER Clinical Psychologist 561-994-4565  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL Py3822)  | 
| Enumeration Date | 2011-01-11 | 
| Last Update Date | 2011-01-11 |