| NPI | 1245578376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH J BUCKLEY President 352-244-5422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5732) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-02-20 |