Organization
PHOENIX PSYCHSOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALINA M CLAVIJO PH.D., HSPP (AUTHORIZED OFFICIAL/REGISTEREDAGENT)
(954) 374-3636
Entity
Organization
Contact information
Practice address
8362 SW 8TH ST, MIAMI, FL 33144-4180
(317) 370-5017
Mailing address
7775 YARDLEY DR APT F105, TAMARAC, FL 33321-0849
(317) 370-5017
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
03/22/2019
Last updated
05/07/2019
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