# PEDIATRIC PSYCHOLOGY ASSOCIATES PL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pediatric Psychology Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376773614
- **Authorized official:** DR. SAMANTHA CARELLA PSY.D. (MANAGER)
- **Authorized official phone:** (305) 936-1002

## Contact information

- **Practice address:** 19022 NE 29TH AVE, AVENTURA, FL 33180-2823
- **Practice address phone:** (305) 936-1002
- **Mailing address:** 19022 NE 29TH AVE, AVENTURA, FL 33180-2823
- **Mailing address phone:** (305) 936-1002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2009
- **Last updated:** 07/21/2009