| Clinical Psychology Professional Center Llc | |
|
738 N Macewen Dr Osprey FL 34229-3200 | |
| (813) 334-6222 | |
| (941) 966-0887 |
| Full Name | Clinical Psychology Professional Center Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 738 N Macewen Dr, Osprey, Florida |
| Authorized Official Name and Position | Gabriela Cintia Lodeiro (SOLE PROPRIETOR) |
| Authorized Official Contact | 8133346222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Psychology Professional Center Llc 738 N Macewen Dr Osprey FL 34229-3200 Ph: (813) 334-6222 | Clinical Psychology Professional Center Llc 738 N Macewen Dr Osprey FL 34229-3200 Ph: (813) 334-6222 |
| NPI Number | 1619297041 |
|---|---|
| Provider Enumeration Date | 06/08/2010 |
| Last Update Date | 07/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619297041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | PY8074 (Florida) | Primary |
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