| NPI | 1205235454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA CORINNE ZIMMER Clinical Psychologist 321-426-0147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 9080) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |