| NPI | 1366106908 |
|---|---|
| Former Legal Business Name | MB PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | MAGDALENA FUDYMA President 941-564-9478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2022-01-26 |