NPI | 1952503328 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN PATRICK JENNINGS Co Director 407-831-2880 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6877) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY6319) |
Enumeration Date | 2007-06-05 |
Last Update Date | 2020-08-22 |