| NPI | 1942950217 | 
|---|---|
| Doing Business As | DR. KELLY SANTANDREA | 
| Entity Type | Organization | 
| Authorized Contact | KELLY ANNE SANTANDREA Psychologist 786-210-4266 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical | 
| Enumeration Date | 2022-03-28 | 
| Last Update Date | 2022-03-28 |