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Contact Information

FLORIDA MEDICAL PSYCHOLOGY ASSOCIATES, LLC
12167 W. LINEBAUGH AVE.
TAMPA, FL33626-4615
 Phone: 813-386-6800
 Fax: 813-891-1311
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for FLORIDA MEDICAL PSYCHOLOGY ASSOCIATES LLC · (Female)

NPI Number 1124123534
Status Active
Credentials
Entity Individual
Enumeration date 09/13/2006
Last updated 05/10/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # PY6274
  • FL License # PY6377
  • FL License # PY6420
  • FL License # PY6792
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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