NPI | 1760119978 |
---|---|
Doing Business As | THE MIND STUDIO |
Entity Type | Organization |
Authorized Contact | ASHLEY LUELLA DOWNEY Practice Manager 850-696-6640 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2022-08-07 |
Last Update Date | 2023-02-22 |