| NPI | 1497144661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN SHAPIRO Member/Psychologist 850-556-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 3674) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-14 |