Organization
THE NEUROFEEDBACK INSTITUTE, PA
Active
Other names
Weston Psychology and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGLA JOSEFINA BLANCO PSY.D. (PRESIDENT)
(305) 785-6610
Entity
Organization
Contact information
Practice address
1605 TOWN CENTER BLVD STE D, WESTON, FL 33326-3637
(786) 505-2485
(954) 389-7600
Mailing address
1416 SANTA CRUZ AVE, CORAL GABLES, FL 33134-2258
(305) 785-6610
(954) 389-7600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881961001
INDIVIDUAL NPI
FL
Enumeration date
11/25/2024
Last updated
11/25/2024
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