Organization
MENTAE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA M MOLES PSY.D. (OWNER)
(305) 557-6755
Entity
Organization
Contact information
Practice address
6600 MAIN ST APT 1304, MIAMI LAKES, FL 33014-2288
(786) 515-4519
Mailing address
6600 MAIN ST APT 1304, MIAMI LAKES, FL 33014-2288
(786) 515-4519
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
09/12/2022
Last updated
08/15/2024
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