Trauma Recovery Group | |
9887 4th St N Ste 319 St Petersburg FL 33702-8445 | |
(727) 379-2804 | |
Not Available |
Full Name | Trauma Recovery Group |
---|---|
Speciality | Psychologist - Clinical |
Location | 9887 4th St N Ste 319, St Petersburg, Florida |
Authorized Official Name and Position | Samantha L Brustad (OWNER/PSY.D) |
Authorized Official Contact | 7273792804 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Trauma Recovery Group 9887 4th St N Ste 319 St Petersburg FL 33702-8445 Ph: () - | Trauma Recovery Group 9887 4th St N Ste 319 St Petersburg FL 33702-8445 Ph: (727) 379-2804 |
NPI Number | 1538746227 |
---|---|
Provider Enumeration Date | 03/27/2021 |
Last Update Date | 04/05/2021 |
Certification Date | 04/05/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538746227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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