| NPI | 1124343165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH J EBENER Psychologist / Owner 850-766-1669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY5093) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |