| NPI | 1184849325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL RONALD LEROM President 813-281-9383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY0004407) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2020-08-22 |