| NPI | 1194277756 |
|---|---|
| Doing Business As | NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS - PSYCHIATRY |
| Other Name | PEDIATRIC SPECIALISTS OF AMERICA- PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | LAURA M GABER Provider Relations Specialist 786-624-5747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2021-03-03 |