Peace River Psychology Center PA

NPI #1003049172 in Punta Gorda, Florida

Provider Information

NPI Number
1003049172
Entity Type
Organization
Organization Name
Peace River Psychology Center PA
Primary Specialty
Psychologist
Enumeration Date
Aug 24, 2009
Last Updated
Jan 19, 2010

Practice Location

Address
425 CROSS ST
Address 2
STE 111
State
Florida
ZIP Code
33950-4877
Phone
(941) 505-6162

Authorized Official

Name
KARIN GALLIANO, PHD
Title
OWNER
Phone
(941) 505-6162

Specialties & Taxonomy Codes

Specialty
Psychologist

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