| NPI | 1417291220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY SILVER Psychologist 954-806-0959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL py5147) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2020-09-17 |