NPI | 1245785815 |
---|---|
Doing Business As | DR. GEORGE EMANOILIDIS |
Entity Type | Organization |
Authorized Contact | GEORGE EMANOILIDIS Owner/Licensed Psychologist 863-243-3198 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8561) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: FL PY8561) |
Enumeration Date | 2016-08-24 |
Last Update Date | 2016-08-24 |