| NPI | 1831300938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ZOLER DOUNCHIS Licensed Psychologist 239-434-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY6604) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY6604) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: FL PY6604) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: FL PY6604) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY6604) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY6604) | |
| 103TF0000X Psychologist, Family (Licence: FL PY6604) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2013-09-30 |