| NPI | 1518428234 | 
|---|---|
| Doing Business As | MEMORIAL DIVISION OF ADULT PSYCHOLOGY SERVICES | 
| Entity Type | Organization | 
| Authorized Contact | NINA BEAUCHESNE Executive Vice President 954-265-3451 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 103T00000X Psychologist | 
| Enumeration Date | 2019-03-26 | 
| Last Update Date | 2019-06-27 |