Organization
DYNAMIC PSYCHOMETRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA EMIL JIMENEZ PSY. D. (OWNER)
(813) 503-3652
Entity
Organization
Contact information
Practice address
13361 N 56TH ST OFC B, TEMPLE TERRACE, FL 33617-1161
(727) 279-5878
(833) 720-9866
Mailing address
13361 N 56TH ST OFC B, TEMPLE TERRACE, FL 33617-1161
(727) 279-5878
(833) 720-9866
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY9007
PSYCHOLOGY LICENSE
FL
Enumeration date
10/06/2019
Last updated
04/21/2021
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