| NPI | 1962643817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATHA ATIYA Clinical Psychologist 954-478-6686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7737) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |