| NPI | 1558490003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL LEON Office Manager 228-388-7998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MS 2-42) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2008-07-18 |