Organization
SOUTH FLORIDA PSYCHOLOGICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADELINE HERNANDEZ PSYD (PRESIDENT)
(305) 822-6772
Entity
Organization
Contact information
Practice address
3408 W 84TH ST STE 317, HIALEAH, FL 33018
(305) 822-6772
(305) 822-6245
Mailing address
3408 W 84TH ST STE 317, HIALEAH, FL 33018-4944
(305) 822-6772
(305) 822-6245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154488211
INDIVIDUAL PROVIDER
FL
Enumeration date
06/01/2007
Last updated
08/07/2018
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