| NPI | 1417373242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA CHRISTINE THATCHER Licensed Psychologist 813-677-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 8912) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2014-03-18 |