| NPI | 1265638803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALINA FONT Owner President 813-367-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY 7356) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL Py 7356) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY 7356) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: FL PY 7356) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2023-02-28 |