| NPI | 1972560472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT ARAM KILLIAN President/Owner 954-786-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY3298) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: FL PY3298) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY3298) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY3298) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY3298) | |
| 103TF0000X Psychologist, Family (Licence: FL PY3298) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: FL PY3298) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2011-03-17 |