| 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 |