| NPI | 1376723478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FISH President/Psychologist 954-370-7692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY3726) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2017-10-09 |