| NPI | 1477606473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE SUE HARMON Corporate President 941-404-9523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6506) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY6506) |
| 103G00000X Clinical Neuropsychologist (Licence: MO 2001014379) | |
| 103TC0700X Psychologist, Clinical (Licence: MO 2001014379) | |
| 103TH0100X Psychologist, Health Service (Licence: MO 2001014379) | |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2012-04-19 |