| NPI | 1477854156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY THORNTON SMITH President 727-347-3284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY4531) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |