| NPI | 1568621753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE E. TRIPLETT Psychologist 863-370-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6110) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |