| NPI | 1518351824 |
|---|---|
| Former Legal Business Name | TIMOTHY C. SHORT, PSY. D |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY C SHORT, PSY. D Owner 321-724-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY4790) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |