| NPI | 1992982219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN L WRIGHT Psychologist 850-877-5655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY0004349) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 873002) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |