| NPI | 1750611877 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MICHAEL SIMPSON Psychologist 954-217-3966 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical | 
| Additional Taxonomies | 103T00000X Psychologist | 
| Enumeration Date | 2010-01-12 | 
| Last Update Date | 2024-09-18 |