| NPI | 1952716193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY SALTZMAN-GORN Clinical Psychologist 941-929-5512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY8578) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |