| NPI | 1427075373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE DILEONARDO Office Manager 954-321-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY4518) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY4518) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2011-03-16 |