Organization
PELICANO, LLC
Active
Other names
Pelicano, LLC Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAVO SEGURA HERNANDEZ PHD (PSYCHOLOGIST)
(727) 834-0034
Entity
Organization
Contact information
Practice address
1340 POYDRAS ST STE 1770, NEW ORLEANS, LA 70112-5204
(727) 834-0034
Mailing address
1645 PALM BEACH LAKES BLVD STE 1200, WEST PALM BEACH, FL 33401-2214
(727) 834-0034
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
03/19/2025
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