| Full Name | Radical Hope |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4729 Us-98 E, Lakeland, Florida |
| Authorized Official Name and Position | Megan Cherry (OWNER) |
| Authorized Official Contact | 8134447576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radical Hope 2424 W Brandon Blvd # 1129 Brandon FL 33511-4717 Ph: (813) 444-7576 | Radical Hope 4729 Us-98 E Lakeland FL 33812 Ph: (813) 444-7576 |
| NPI Number | 1568117547 |
|---|---|
| Provider Enumeration Date | 02/17/2022 |
| Last Update Date | 06/08/2022 |
| Certification Date | 05/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568117547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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