NPI | 1801851266 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN LUCAS Licensed Psychologist 904-725-2008 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY2701) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2011-01-24 |