| NPI | 1558632117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA L THOMAS SHUTT Psychologist 561-266-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY6439) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |