| NPI | 1437428273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDY REGNIER Owner 941-365-2962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY4639) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY4639) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY4639) | |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |