Organization
WHOLE AGAIN INSTITUTE FOR WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA RIVERA PSY D (CEO)
(954) 933-8299
Entity
Organization
Contact information
Practice address
14601 HOTEL ROAD, SUITE 101B, MIRAMAR, FL 33027
(954) 933-8299
Mailing address
14601 HOTEL ROAD (29TH ST), SUITE 101B, MIRAMAR, FL 33027
(954) 933-8299
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/18/2014
Last updated
06/10/2015
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