| NPI | 1801336201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA HERNANDEZ Director Of Billing 954-203-3584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7715) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY7715) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0075481) | |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-03-03 |