| NPI | 1396112157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SMALHEISER Clinical Psychologist 954-829-2975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 9109) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2023-08-03 |