Bayshore Psychological Services | |
15525 Starling Crossing Dr Lithia FL 33547-4021 | |
(813) 351-9235 | |
Not Available |
Full Name | Bayshore Psychological Services |
---|---|
Speciality | Psychologist |
Location | 15525 Starling Crossing Dr, Lithia, Florida |
Authorized Official Name and Position | Robert Klukoff (PSYCHOLOGIST) |
Authorized Official Contact | 8133519235 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bayshore Psychological Services 15525 Starling Crossing Dr Lithia FL 33547-4021 Ph: (813) 351-9235 | Bayshore Psychological Services 15525 Starling Crossing Dr Lithia FL 33547-4021 Ph: (813) 351-9235 |
NPI Number | 1750798567 |
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Provider Enumeration Date | 07/14/2014 |
Last Update Date | 07/14/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750798567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY8123 (Florida) | Primary |
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