| NPI | 1063833119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN M STURDEVANT Licensed Psychologist/Owner 727-209-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY8738) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |