| NPI | 1073877643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL B GOLDMAN Licensed Psychologist 941-444-5578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8470) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2023-07-06 |