NPI | 1831340819 |
---|---|
Entity Type | Organization |
Authorized Contact | EVE E, WETTSTEIN Director Of Clinical Instruction 850-644-4838 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY6123) |
Enumeration Date | 2008-10-08 |
Last Update Date | 2008-10-08 |