| NPI | 1922388909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN CHAPMAN TYLER Licensed Psychologist / President 850-279-6750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL 5264) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |