NPI | 1780096677 |
---|---|
Entity Type | Organization |
Authorized Contact | VIRGINIA W SLOAN Licensed Psychologist/Owner 352-283-9409 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY5712) |
Enumeration Date | 2014-05-27 |
Last Update Date | 2014-05-27 |