Healthcare Provider Details

I. General information

NPI: 1477823862
Provider Name (Legal Business Name): WR PSYCHOLOGICAL SERVICES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2012
Last Update Date: 01/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

782 NW LEJEUNE RD SUITE 334
MIAMI FL
33126-5541
US

IV. Provider business mailing address

782 NW LEJEUNE RD SUITE 334
MIAMI FL
33126-5541
US

V. Phone/Fax

Practice location:
  • Phone: 305-461-4684
  • Fax: 305-461-4077
Mailing address:
  • Phone: 305-461-4684
  • Fax: 305-461-4077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. WANDA L ROMERO
Title or Position: OWNER
Credential: PH.D.
Phone: 305-461-4684