| NPI | 1639203763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC L ROSEN Owner & President 727-787-6177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY5165) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2024-01-23 |