Mindwealth Institute LLC
Clinical Neuropsychologist in Delray Beach, FL. Organization (NPI-2).
NPI number1982120325
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982120325
- Entity type
- Organization (NPI-2)
- Legal business name
- Mindwealth Institute LLC
- Organization subpart
- No
- Enumeration date
- Aug 17, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY9528 | FL | Yes |
| 103TR0400X | Psychologist, Rehabilitation | PY9528 | FL | |
| 103TA0400X | Psychologist, Addiction (Substance Use Disorder) | PY9528 | FL | |
| 103TA0700X | Psychologist, Adult Development & Aging | PY9528 | FL | |
| 103TB0200X | Psychologist, Cognitive & Behavioral | PY9528 | FL | |
| 103TF0200X | Psychologist, Forensic | PY9528 | FL | |
| 103TH0004X | Psychologist, Health | PY9528 | FL |
Practice location
151 Se 3rd Ave Apt 435Delray Beach, FL 33483-4683
Phone 202-297-0670
Mailing address
151 Se 3rd Ave Suite 435Delray Beach, FL 33483
Phone 202-297-0670
Authorized official
Rick Stephan
Neuropsychologist
2022970670
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