| NPI | 1326277534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXINE ANN-MARIE RUDDOCK President 352-455-7958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL py7658) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |