| NPI | 1790191419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOYLE E PATTON President/Clinical Neuropsychologis 786-519-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY6970) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY6970) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |