| NPI | 1639348188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA JO RYAN Psycholgist 941-486-1930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY4642) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2024-01-22 |