Tampa Bay Institute For Psychological And Behavioral Health, P.a. | |
20747 Sterlington Dr Land O Lakes FL 34638-4317 | |
(813) 635-6350 | |
Not Available |
Full Name | Tampa Bay Institute For Psychological And Behavioral Health, P.a. |
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Speciality | Psychologist |
Location | 20747 Sterlington Dr, Land O Lakes, Florida |
Authorized Official Name and Position | David Alexander (PSYCHOLOGIST) |
Authorized Official Contact | 8136356350 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tampa Bay Institute For Psychological And Behavioral Health, P.a. 20747 Sterlington Dr Land O Lakes FL 34638-4317 Ph: (813) 907-9191 | Tampa Bay Institute For Psychological And Behavioral Health, P.a. 20747 Sterlington Dr Land O Lakes FL 34638-4317 Ph: (813) 635-6350 |
NPI Number | 1275191330 |
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Provider Enumeration Date | 06/04/2019 |
Last Update Date | 02/03/2022 |
Certification Date | 02/03/2022 |
Medicare PECOS PAC ID | 8426384561 |
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Medicare Enrollment ID | O20190726000043 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275191330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | David Joseph Alexander |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1770053464 PECOS PAC ID: 9335475474 Enrollment ID: I20190726000090 |
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