| NPI | 1528995636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADILEY BROZ Owner/President 305-469-5153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TF0200X Psychologist, Forensic | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2026-05-05 |
| Last Update Date | 2026-05-05 |