NPI | 1013068527 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT KENNETH WINEGAR Psychologist President 941-953-4313 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL 6215) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL 6215) |
Enumeration Date | 2007-01-13 |
Last Update Date | 2011-08-19 |