NPI | 1396130241 |
---|---|
Doing Business As | PERSONAL DEVELOPMENT |
Entity Type | Organization |
Authorized Contact | BRUCE G BORKOSKY President 863-386-0276 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY5159) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY5159) |
103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: FL PY5159) | |
103TA0700X Psychologist, Adult Development & Aging (Licence: FL PY5159) | |
103TF0000X Psychologist, Family (Licence: FL PY5159) | |
103TF0200X Psychologist, Forensic (Licence: FL PY5159) | |
103TH0004X Psychologist, Health (Licence: FL PY5159) | |
103TR0400X Psychologist, Rehabilitation (Licence: FL PY5159) | |
Enumeration Date | 2015-03-30 |
Last Update Date | 2015-03-30 |