| NPI | 1265934111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA S ELLINGER Clinical Psychologist 561-498-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY4112) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2023-12-07 |