Organization
CENTER FOR DIAGNOSTIC & PSYCHOLOGICAL SVCS, INC.
Active
Other names
CDPS, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBIS PENA-GARCIA PSY.D. (PRESIDENT)
(305) 599-2111
Entity
Organization
Contact information
Practice address
8405 NW 53RD ST, SUITE#A108, MIAMI, FL 33166-4523
(305) 599-2111
(305) 599-2233
Mailing address
8405 NW 53RD ST, SUITE#A108, MIAMI, FL 33166-4523
(305) 599-2111
(305) 599-2233
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY3842
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY3842
DOCTOR STATE LICENSE#
FL
Enumeration date
06/13/2007
Last updated
08/22/2020
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