NPI | 1477769859 |
---|---|
Entity Type | Organization |
Authorized Contact | THEODORE WASSERMAN Owner Psychologist 561-451-8408 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY - 0003977) |
Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY - 0003977) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2020-08-22 |