NPI | 1619902103 |
---|---|
Entity Type | Organization |
Authorized Contact | JODY E. TALBOTT Owner President 239-592-1771 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY 7020) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2011-05-19 |