| NPI | 1689711830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA J RESSEL-HODAN Partner 727-399-0806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY5343) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |