| NPI | 1922278183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DIAMOND Psychologist 352-375-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY3331) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2013-07-08 |