| NPI | 1528005311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN K FOX Clinical Psychologist/Owner 904-264-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL py-7122) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2015-08-24 |