| NPI | 1619755485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MCDOWELL Owner/Psychologist 813-825-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-21 |