Organization
NEUROCORTEX PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGIE MOLINET MOLINA PSYD (OPERATING MANAGER)
(305) 669-2549
Entity
Organization
Contact information
Practice address
11520 SW 69TH CT, PINECREST, FL 33156-4734
(305) 669-2549
(877) 579-7427
Mailing address
11520 SW 69TH CT, PINECREST, FL 33156-4734
(305) 669-2549
(877) 579-7427
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY7041
FL
103TC0700X
Clinical Psychologist
Primary
PY7041
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY7041
FL
Other
Enumeration date
03/18/2016
Last updated
05/19/2021
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