Organization
NEUROPSYCH WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODOROS TSAOUSIDES PH.D. (NEUROPSYCHOLOGIST)
(917) 626-6017
Entity
Organization
Contact information
Practice address
110 E BROWARD BLVD STE 1700, FORT LAUDERDALE, FL 33301-3500
(917) 626-6017
Mailing address
110 E BROWARD BLVD STE 1700, FORT LAUDERDALE, FL 33301-3500
(917) 626-6017
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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