| Behavioral Health Practitioner's, Inc. | |
|
1301 Seminole Blvd B-112 Largo FL 33770-8124 | |
| (727) 518-7294 | |
| (727) 584-4937 |
| Full Name | Behavioral Health Practitioner's, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1301 Seminole Blvd, Largo, Florida |
| Authorized Official Name and Position | Gerard E Boutin (PRESIDENT) |
| Authorized Official Contact | 7275187294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Practitioner's, Inc. 1301 Seminole Blvd B-112 Largo FL 33770-8124 Ph: (727) 518-7294 | Behavioral Health Practitioner's, Inc. 1301 Seminole Blvd B-112 Largo FL 33770-8124 Ph: (727) 518-7294 |
| NPI Number | 1194935775 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194935775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY2716 (Florida) | Primary |
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