| NPI | 1588071831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES S REYES Clinical Psychologist 305-501-0046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7479) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |