Ellis L Gesten is a Clinical in Tampa, Florida. Ellis L Gesten practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ellis L Gesten is 1053588400. The last update date is 2008-05-14.
Ellis L Gesten's current location address is 3500 E Fletcher Ave Ste 207, Tampa, Florida. You can contact this provider via phone number 8139714800. The mailing address for Ellis L Gesten is 3500 E Fletcher Ave Ste 207, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellis L Gesten |
|---|---|
| Address | 3500 E Fletcher Ave Ste 207, Tampa, Florida |
| Phone Number | 8139714800 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1053588400 |
|---|---|
| Provider Enumeration Date | 2008-05-14 |
| Last Updated Date | 2008-05-14 |
Provider Mailing Address Detail
| Address | 3500 E Fletcher Ave Ste 207 |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336134795 |
| Phone Number | 8139714800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2222 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Ellis L Gesten's unique identification number?
The Ellis L Gesten has been assigned the NPI (National Provider Identifier) Number 1053588400 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Ellis L Gesten located?
The Ellis L Gesten is located at 3500 E Fletcher Ave Ste 207, Tampa, FL 336134795.
What is the Ellis L Gesten's area of specialization and corresponding taxonomy classification?
The Ellis L Gesten's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1053588400 assigned to Ellis L Gesten?
The Ellis L Gesten was issued its 1053588400 on 2008-05-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Ellis L Gesten most recently updated or revised?
The details related to Ellis L Gesten, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-14.