| NPI | 1598022451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA JAEGERMAN Owner 954-667-7176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7141) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2016-03-21 |