NPI | 1518373521 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE B AYALA-FELICIANO Clinical Psychologist 813-992-7050 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TF0000X Psychologist, Family | |
103TH0100X Psychologist, Health Service | |
103TR0400X Psychologist, Rehabilitation | |
Enumeration Date | 2014-07-10 |
Last Update Date | 2025-08-18 |