| NPI | 1851787360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY DAVIS Licensed Psychologist/Owner 352-870-8173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 7649) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |