is a Clinical in St Petersburg, Florida. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1437316239. The last update date is .
's current location address is 1114 36th Ave Ne, St Petersburg, Florida. You can contact this provider via phone number 7275271969. The mailing address for is 1114 36th Ave Ne, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1114 36th Ave Ne, St Petersburg, Florida |
| Phone Number | 7275271969 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1437316239 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1114 36th Ave Ne |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337041616 |
| Phone Number | 7275271969 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY5620 |
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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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