| Anthony Dwight Bobo, Sr | |
|
7501 Okeechobee Ct Temple Terr FL 33637-7345 | |
| (330) 573-4722 | |
| Not Available |
| Full Name | Anthony Dwight Bobo, Sr |
|---|---|
| Speciality | Psychologist - School |
| Location | 7501 Okeechobee Ct, Temple Terr, Florida |
| Authorized Official Name and Position | Anthony Dwight Bobo (OWNER) |
| Authorized Official Contact | 1330573472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Dwight Bobo, Sr 7501 Okeechobee Ct Temple Terr FL 33637-7345 Ph: (330) 573-4722 | Anthony Dwight Bobo, Sr 7501 Okeechobee Ct Temple Terr FL 33637-7345 Ph: (330) 573-4722 |
| NPI Number | 1881341857 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 03/09/2022 |
| Certification Date | 03/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881341857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | (* (Not Available)) | Primary |
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