| NPI | 1770788390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN N YOUNG Owner 904-223-6414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY7306) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2011-10-17 |