| NPI | 1518416395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN TWEETEN Licensed Psychologist/Owner 407-808-4190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9261) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |