| NPI | 1194911313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA P CRUTCHFIELD President/Psychologist 727-736-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5217) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW4752) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2008-06-18 |