Provider Demographics
NPI:1952503328
Name:INSTITUTE OF FAMILY STUDIES
Entity type:Organization
Organization Name:INSTITUTE OF FAMILY STUDIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:JENNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:407-831-2880
Mailing Address - Street 1:108 ROBIN RD STE 2006
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-5035
Mailing Address - Country:US
Mailing Address - Phone:407-831-2880
Mailing Address - Fax:407-831-2881
Practice Address - Street 1:108 ROBIN RD STE 2006
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-5035
Practice Address - Country:US
Practice Address - Phone:407-831-2880
Practice Address - Fax:407-831-2881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6319103TC0700X
FLPY6877103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty