NPI | 1891943742 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN DURETZ Billing Manager 954-366-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY3266) |
Enumeration Date | 2008-09-04 |
Last Update Date | 2012-11-14 |