Organization
PAICA-N PSYCHOLOGICAL ASSESSMENT AND INTERVENTIONS FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORDA HERNANDEZ PSY.D. (DIRECTOR)
(954) 641-3458
Entity
Organization
Contact information
Practice address
2645 EXECUTIVE PARK DR, 504, WESTON, FL 33331-3624
(954) 641-3458
(954) 385-3303
Mailing address
2645 EXECUTIVE PARK DR, 504, WESTON, FL 33331-3624
(954) 641-3458
(954) 385-3303
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7910
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336379445
NPI FOR INDIVIDUAL
FL
Enumeration date
09/06/2010
Last updated
09/06/2010
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