| NPI | 1760435754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY DEAN ATWOOD President/Psychologist 941-487-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 550) |
| Additional Taxonomies | 251S00000X (Licence: NM 550) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-05-03 |