| NPI | 1851776348 |
|---|---|
| Doing Business As | PAULA DEFOREST PHD |
| Entity Type | Organization |
| Authorized Contact | PAULA DEFOREST Psychologist 321-305-5068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY0004766) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY0004766) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY0004766) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY0004766) | |
| 103TC1900X Psychologist, Counseling (Licence: FL PY0004766) | |
| 103TF0000X Psychologist, Family (Licence: FL PY0004766) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: FL PY0004766) | |
| 103TS0200X Psychologist, School (Licence: FL PY0004766) | |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |