NPI | 1811967136 |
---|---|
Entity Type | Organization |
Authorized Contact | N. LOIS ADAMS Executive Director 407-898-4427 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
2084N0400X Psychiatry & Neurology, Neurology | |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
Enumeration Date | 2006-01-26 |
Last Update Date | 2020-08-22 |