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 |