| 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 |