| NPI | 1538583927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADEEN B MEDVIN Psychologist 305-815-1129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5624) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: FL PY5624) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY5624) | |
| 103TC1900X Psychologist, Counseling (Licence: FL PY5624) | |
| 103TE1100X Psychologist, Exercise & Sports (Licence: FL PY5624) | |
| 103TF0000X Psychologist, Family (Licence: FL PY5624) | |
| 103TH0004X Psychologist, Health (Licence: FL PY5624) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: FL PY5624) | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |