| NPI | 1194925727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PENZER Licensed Psychologist 954-475-1371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY2497) |
| Enumeration Date | 2007-07-22 |
| Last Update Date | 2013-12-06 |