| NPI | 1295908010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA M MCBRIDE President 813-760-6709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6803) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY6803) |
| Enumeration Date | 2008-04-13 |
| Last Update Date | 2009-02-02 |