| NPI | 1366780553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI BRESNAN Managing Member 954-321-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY 7948) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2020-11-02 |