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 |