| NPI | 1598040594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SMITH Psychologist 407-923-4814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY8387) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2014-10-28 |