| NPI | 1588965636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER TIMOTHY OAS Owner/Licensed Psychologist 850-729-3117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY3598) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-16 |