| NPI | 1891029179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHAWNA KAY DUNCAN President 941-751-7545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY6421) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY6421) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY6421) | |
| 103G00000X Clinical Neuropsychologist (Licence: FL PY6421) | |
| 103TC1900X Psychologist, Counseling (Licence: FL PY6421) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY6421) | |
| 103TF0000X Psychologist, Family (Licence: FL PY6421) | |
| 103TF0200X Psychologist, Forensic (Licence: FL PY6421) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: FL PY6421) | |
| 103TS0200X Psychologist, School (Licence: FL PY6421) | |
| Enumeration Date | 2009-09-19 |
| Last Update Date | 2009-09-19 |