| NPI | 1437657806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CHRISTOPHER DOANE President/Psychologist 813-853-5360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: FL PY9625) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2020-06-01 |