| NPI | 1861559346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S GEISER President Of P.A. 239-278-3231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY0005048) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY0005048) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2015-04-18 |