| NPI | 1669872347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R. KINNEY Psychologist 727-463-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY9042) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY9042) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY9042) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY9042) | |
| 103TC1900X Psychologist, Counseling (Licence: FL PY9042) | |
| 103TF0000X Psychologist, Family (Licence: FL PY9042) | |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2024-03-12 |