| NPI | 1669517462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ELDRIDGE MARCUS Director, Licensed Psychologist 305-666-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7161) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |