| NPI | 1407046808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHAW Licensed Psychologist 561-746-6482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY0003539) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-07-31 |