| NPI | 1497132039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN WEISS Insurance Manager 954-894-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY2190) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |