| NPI | 1356725279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON LEE TARBOX Clinical Psychologist 727-685-0934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9307) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2018-10-12 |