| NPI | 1619417250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS G QUINLAN Clinical Psychology 727-906-6185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0700X Psychologist Adult Development & Aging |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2023-11-17 |