| NPI | 1568943777 |
|---|---|
| Doing Business As | LAKELAND PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | SUZANNE LAVELLE Owner 813-385-1632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY8288) |
| Enumeration Date | 2018-08-25 |
| Last Update Date | 2022-06-04 |