NPI | 1528879012 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON PEDROSA Psychologist 305-985-6037 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
103TS0200X Psychologist, School | |
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2025-01-15 |
Last Update Date | 2025-01-15 |