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Organization
PEDIATRIC PSYCHOLOGY ASSOCIATES PL
Active
Organization
PEDIATRIC PSYCHOLOGY ASSOCIATES PL
Active
Other names
Pediatric Psychology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA CARELLA PSY.D. (MANAGER)
(305) 936-1002
Entity
Organization
Contact information
Practice address
19022 NE 29TH AVE, AVENTURA, FL 33180-2823
(305) 936-1002
Mailing address
19022 NE 29TH AVE, AVENTURA, FL 33180-2823
(305) 936-1002
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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