| NPI | 1508950312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARALD WOLFGANG LETTNER Owner 239-434-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY4878) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY4878) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-02-18 |