| NPI | 1497760102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LINDSTADT VASSALLO President 727-669-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY7281) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY7281) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-02-25 |