| NPI | 1902432339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN C CAPELLA Licensed Clinical Psychologist 321-888-6965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2021-11-04 |