| NPI | 1053526160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY L. BOWMAN President 727-345-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |