| NPI | 1023332764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD L BERGMAN President 305-932-3666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY2048) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |