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Organization

PAICA A PSYCHOLOGICAL ASSESSMENT AND INTERVENTION FOR CHILDREN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AILEEN M MENDOZA-FERNANDEZ PSY.D (PRESIDENT/ OWNER)
(305) 297-9445
Entity
Organization

Contact information

Practice address
8080 W FLAGLER ST, SUITE 3C, MIAMI, FL 33144-2100
(305) 297-9445
(305) 269-3989
Mailing address
1172 SW 85TH AVE, MIAMI, FL 33144-4058
(305) 297-9445
(305) 269-3989

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
PY7893
FL

Other

Enumeration date
02/17/2010
Last updated
02/17/2010
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