| Organization Name: | FLORIDA PSYCHOLOGY SERVICES, LLC |
| NPI Number: | 1790926335 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SARAH MADSON (PRESIDENT) |
| Mailing Address: | 230 Water St Apalachicola |
| State: | FL US |
| Postal Code: | 323201735 |
| Phone Number: | 4072671060 |
| Fax Number: | |
| NPI Enumeration Date: | 03/11/2009 |
| NPI Last Update Date: | 07/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY7417 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |