Organization
AXIS NEUROPSYCHOLOGICAL SERVICES INC
Active
Organization
AXIS NEUROPSYCHOLOGICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA PATRICIA SALCEDO-SAMPER PSY.D. (PRESIDENT)
(786) 260-4212
Entity
Organization
Contact information
Practice address
100 MIRACLE MILE, CORAL GABLES, FL 33134-5430
(305) 445-3222
Mailing address
372 WHITETHORN DR, MIAMI SPRINGS, FL 33166-4952
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PY8702
FL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
PY8702
FL
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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