NPI 1104905348

Life Dance INC

Organisation Clinical Psychologist Gainesville, FL

Practice location

Address: 6417 NW 37th Dr, Gainesville, FL 32653-0868
Phone: (352) 335-1240

Authorised official

Name: Mark a Manuel
Title: President
Phone: (352) 335-1240

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X

Other Psychologist providers in Florida →

Registry record

NPI: 1104905348
Entity type: Organization
NPI issued: 6 Nov 2006
Record last updated: 5 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.