| NPI | 1215420849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVIA V HERNANDEZ Manager 954-203-3584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |