| 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 |