NPI | 1578021655 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE BLAIRE POLLAK FELL Owner/Clinical Psychologist 813-603-8181 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
Enumeration Date | 2019-03-07 |
Last Update Date | 2019-03-07 |