| NPI | 1548604028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK ROBERTO PEREZ VERDECIA Psychologist 305-917-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY8713) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: FL PY8713) |
| 101YM0800X Counselor Mental Health (Licence: FL MH10722) | |
| 103T00000X Psychologist (Licence: FL PY8713) | |
| 103G00000X Clinical Neuropsychologist (Licence: FL PY8713) | |
| 103K00000X Behavior Analyst (Licence: FL PY8713) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: FL PY8713) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: FL PY8713) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: FL PY8713) | |
| 103TR0400X Psychologist Rehabilitation (Licence: FL PY8713) | |
| 103TS0200X Psychologist School (Licence: FL PY8713) | |
| 225C00000X Rehabilitation Counselor (Licence: FL PY8713) | |
| 222Q00000X Developmental Therapist (Licence: FL PY8713) | |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2024-08-08 |