NPI | 1265655617 |
---|---|
Entity Type | Organization |
Authorized Contact | EILEEN KRIMSKY Psychologist Owner 904-223-4865 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY3475) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY3479) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2008-04-01 |