| NPI | 1255821278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVIA V HERNANDEZ Manager 954-203-3584 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |