| NPI | 1376935882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MAGRO Owner/Psychologist 727-379-1982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2015-02-21 |
| Last Update Date | 2015-02-21 |