NPI | 1679743710 |
---|---|
Entity Type | Organization |
Authorized Contact | WHITNEY GUIDEBECK LEGLER President 772-231-5554 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY6325) |
Enumeration Date | 2008-03-05 |
Last Update Date | 2008-03-05 |