| NPI | 1548986052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLWIA PATRYCJA HODOREK Licensed Psychologist 850-759-7332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |