| NPI | 1619903812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B RAWLINGS Owner 239-430-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY0004889) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-10-17 |