| NPI | 1811367485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY ZEHR Psychologist / President 727-492-2693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY7812) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |