| NPI | 1497984868 |
|---|---|
| Doing Business As | CENTER FOR SACRED PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM DOUGLAS CANTERBURY-COUNTS President 772-569-2239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY4461) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY4461) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |