| NPI | 1639506926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES HERNANDEZ Director 305-775-0916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY8826) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL PY8826) |
| 103G00000X Clinical Neuropsychologist (Licence: FL PY8826) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: FL PY8826) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY8826) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY8826) | |
| 103TC1900X Psychologist, Counseling (Licence: FL PY8826) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY8826) | |
| 103TF0000X Psychologist, Family (Licence: FL PY8826) | |
| 103TH0004X Psychologist, Health (Licence: FL PY8826) | |
| 103TH0100X Psychologist, Health Service (Licence: FL PY8826) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: FL PY8826) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: FL PY8826) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: FL PY8826) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: FL PY8826) | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-11-13 |