| NPI | 1356876122 |
|---|---|
| Doing Business As | PSYCHOLOGICAL WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LIPPMAN President 813-323-0636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8639) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |