Organization
PSYCHOLOGY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLEN CASTELLANO PSY.D (PRESIDENT)
(786) 234-8038
Entity
Organization
Contact information
Practice address
3131 SW 135TH AVE, MIAMI, FL 33175-6657
(786) 234-8038
Mailing address
3131 SW 135TH AVE, MIAMI, FL 33175-6657
(786) 234-8038
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY8465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015107800
—
FL
Enumeration date
05/17/2014
Last updated
05/19/2016
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