| NPI | 1548555048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA G DERATANY Owner/Psychologist 321-727-9031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY 4374) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |