Psychologist Office | |
710 Oakfield Dr Brandon FL 33511-4938 | |
(813) 445-8575 | |
(813) 649-8085 |
Full Name | Psychologist Office |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 710 Oakfield Dr, Brandon, Florida |
Authorized Official Name and Position | Nickeisha K Clarke (PROVIDER) |
Authorized Official Contact | 8134458575 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Psychologist Office 710 Oakfield Dr Ste 153 Brandon FL 33511-4954 Ph: (813) 445-8575 | Psychologist Office 710 Oakfield Dr Brandon FL 33511-4938 Ph: (813) 445-8575 |
NPI Number | 1063054310 |
---|---|
Provider Enumeration Date | 10/08/2019 |
Last Update Date | 11/08/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063054310 | NPI | - | NPPES |
1245710904 | Other | FL | NPI |
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