| NPI | 1396184248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN EDNEY Director Of Operations 772-223-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY5416) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2016-09-27 |