| NPI | 1578707477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED LEE ALBERTS President 813-253-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY3346) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY3346) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: FL PY3346) | |
| 103TF0200X Psychologist Forensic (Licence: FL PY3346) | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |