| NPI | 1306055942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEC ROTH Licensed Psychologist 954-742-7032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY0004153) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-04-27 |