NPI | 1083834246 |
---|---|
Doing Business As | AMELIA PSYCHOLOGICAL SERVICES |
Entity Type | Organization |
Authorized Contact | WILLIAM L ROSS Business Owner 904-277-2052 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL PY2557) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH6579) |
103T00000X Psychologist (Licence: FL PY4456) | |
103T00000X Psychologist (Licence: FL PY2557) | |
1041C0700X Social Worker, Clinical (Licence: FL SW6913) | |
Enumeration Date | 2007-04-27 |
Last Update Date | 2008-06-12 |