Organization
OUTPATIENT PSY CARE INC
Active
Other names
Outpatient Med-Psy Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN D.J. GONZALEZ-DIAZ PH.D (PRESIDENT)
(786) 220-6902
Entity
Organization
Contact information
Practice address
3271 NW 7TH ST., SUITE # 203, MIAMI, FL 33125
(786) 220-6902
(866) 726-0526
Mailing address
PO BOX 347604, CORAL GABLES, FL 33234-7604
(305) 984-8422
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY5395
FL
103TC0700X
Clinical Psychologist
Primary
PY5395
FL
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/16/2006
Last updated
07/02/2024
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