| NPI | 1134293343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HENDERSHOT President 813-265-4811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY4314) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |