| NPI | 1306893938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN FREDMAN Licensed Psychologist 561-417-0571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY0002857) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |