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 |