NPI | 1962940452 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY C COLEMAN Psychologist 352-514-5821 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY4767) |
Enumeration Date | 2017-02-06 |
Last Update Date | 2017-02-06 |