| NPI | 1396140489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY BAIRD Sole Member/Psychologist 941-362-9972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6698) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-11-12 |