| NPI | 1366627051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLWALTON WALTON Clinical Psychologist 321-725-9607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY0004344) |
| Enumeration Date | 2008-01-01 |
| Last Update Date | 2008-01-01 |