| NPI | 1366854002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE MOLINET MOLINA Partner 305-669-2549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7041) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY7041) |
| 103T00000X Psychologist (Licence: FL PY7041) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY7041) | |
| 103TC1900X Psychologist, Counseling (Licence: FL PY7041) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY7041) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: FL PY7041) | |
| 103TS0200X Psychologist, School (Licence: FL PY7041) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |