Delray Beach Wellness Center LLC
Clinical Neuropsychologist in Delray Beach, FL. Organization (NPI-2).
NPI number1992239917
StatusActive
Last updated in NPPESApr 17, 2017
Details
- NPI
- 1992239917
- Entity type
- Organization (NPI-2)
- Legal business name
- Delray Beach Wellness Center LLC
- Organization subpart
- No
- Enumeration date
- Apr 17, 2017
- Last updated
- Apr 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 103TC0700X | Psychologist, Clinical | – | – | |
| 207RA0401X | Internal Medicine, Addiction Medicine | – | – |
Practice location
1300 Nw 17th AveSuite 145
Delray Beach, FL 33445-2578
Phone 844-763-9968 · Fax 877-281-1665
Mailing address
1300 Nw 17th AveSuite 145
Delray Beach, FL 33445-2578
Phone 844-763-9968 · Fax 877-281-1665
Authorized official
Veronica Hernandez
Billing Manager
9542033584
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