| NPI | 1467767178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD PALERMO Licensed Psychologist, Member 888-899-7736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7877) |
| Additional Taxonomies | 251S00000X (Licence: FL PY7877) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2015-08-19 |