Organization
MODERN PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZ MARY LOPEZ (ADMINISTRATOR)
(305) 502-7012
Entity
Organization
Contact information
Practice address
6601 SW 80TH ST STE 121, MIAMI, FL 33143-4661
(305) 502-7012
Mailing address
6601 SW 80TH ST STE 121, SOUTH MIAMI, FL 33143-4661
(305) 502-7012
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
01/23/2025
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