| Organization Name: | WINTER PARK PSYCHOLOGY, INC. |
| NPI Number: | 1013155498 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GABRIELA F OTT (PRESIDENT) |
| Mailing Address: | 701 W Morse Blvd Winter Park |
| State: | FL US |
| Postal Code: | 327893794 |
| Phone Number: | 3216047024 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2009 |
| NPI Last Update Date: | 01/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY7273 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |