| NPI | 1609114701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADONNA DAHL President/Physician 786-512-9983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY8020) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |