Individual
BRYAN PINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7265 NW 169TH TER, HIALEAH, FL 33015-4136
(786) 328-7666
Mailing address
7265 NW 169TH TER, HIALEAH, FL 33015-4136
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
RBT-24-355301
FL
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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