NPI | 1609211044 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDITH HORVATH Manager 863-658-0151 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY8325) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY8325) |
Enumeration Date | 2013-04-29 |
Last Update Date | 2013-04-30 |