| NPI | 1437549755 |
|---|---|
| Former Legal Business Name | ADVANCED LIFE INNOVATIONS PLLC |
| Entity Type | Organization |
| Authorized Contact | BARON CRESPO Clinical & Forensic Psychologist 305-249-1694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 37853) |
| Enumeration Date | 2015-01-24 |
| Last Update Date | 2018-08-10 |