NPI | 1437653094 |
---|---|
Former Legal Business Name | NEURO INTERGRATION, LLC |
Entity Type | Organization |
Authorized Contact | VERONICA HERNANDEZ Manager 954-203-3584 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7715) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY7715) |
Enumeration Date | 2018-03-20 |
Last Update Date | 2018-03-20 |