| Interface Consulting And Psychological Services, Llc | |
|
3825 Henderson Blvd # 505b Tampa FL 33629-5037 | |
| (813) 421-2375 | |
| Not Available |
| Full Name | Interface Consulting And Psychological Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3825 Henderson Blvd # 505b, Tampa, Florida |
| Authorized Official Name and Position | Irma Campos (PRESIDENT) |
| Authorized Official Contact | 8134212375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interface Consulting And Psychological Services, Llc 3825 Henderson Blvd Ste 505b Tampa FL 33629-5037 Ph: () - | Interface Consulting And Psychological Services, Llc 3825 Henderson Blvd # 505b Tampa FL 33629-5037 Ph: (813) 421-2375 |
| NPI Number | 1225536287 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 04/14/2021 |
| Certification Date | 01/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225536287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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