| NPI | 1578977567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J SIMONS Psychologist 727-656-6457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY0003611) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |