Organization
PM PSYCHOLOGICAL SERVICES
Active
Parent organization
PM PSYCHOLOGICAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
PM PSYCHOLOGICAL SERVICES
Authorized official
MRS. PATRICIA MOURE (OWNER)
(786) 222-6995
Entity
Organization
Contact information
Practice address
8181 NW 36 ST, SUITE 17-A, DORAL, FL 33166
(786) 542-8179
(786) 364-1871
Mailing address
14892 SW 70 ST, MIAMI, FL 33193
(786) 542-8179
(786) 364-1871
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020580300
—
FL
Enumeration date
05/25/2018
Last updated
05/25/2018
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