Whole Again Instute for Wellness, INC

NPI #1447519418 in Miramar, Florida

Provider Information

NPI Number: 1447519418
Entity Type: Organization
Organization Name: Whole Again Instute for Wellness, INC
Primary Specialty: Psychologist
Enumeration Date: May 11, 2012
Last Updated: May 11, 2012

Practice Location

Address: 12781 MIRAMAR PARKWAY SUITE 1-105
City: Miramar
State: Florida
ZIP Code: 33027
Phone: (954) 933-8299

Authorized Official

Name: JESSICA E RIVERA, PSY.D.
Title: PRESIDENT, CEO
Phone: (954) 933-8299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Neuropsychologist	103G00000X
Psychologist	103T00000X	Primary

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