Organization
BIOPSYCH DIAGNOSTICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ELIAS FERNANDEZ PH.D (DIRECTOR)
(305) 397-9094
Entity
Organization
Contact information
Practice address
223 E FLAGLER ST, SUITE 432, MIAMI, FL 33131-1327
(305) 397-9094
Mailing address
223 E FLAGLER ST, SUITE 432, MIAMI, FL 33131-1327
(305) 397-9094
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY 7672
FL
103T00000X
Psychologist
PY 7672
FL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PY 7672
FL
103TA0700X
Adult Development & Aging Psychologist
PY 7672
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY 7672
FL
103TC0700X
Clinical Psychologist
PY 7672
FL
103TC1900X
Counseling Psychologist
PY 7672
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY 7672
FL
103TE1100X
Exercise & Sports Psychologist
PY 7672
FL
103TF0000X
Family Psychologist
PY 7672
FL
103TF0200X
Forensic Psychologist
PY 7672
FL
103TH0004X
Health Psychologist
PY 7672
FL
103TH0100X
Health Service Psychologist
PY 7672
FL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PY 7672
FL
103TP2701X
Group Psychotherapy Psychologist
PY 7672
FL
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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