| 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 |