Guy L Tewksbury, Ph.d. Pa | |
11590 Seminole Blvd Largo FL 33778-3204 | |
(727) 375-5924 | |
Not Available |
Full Name | Guy L Tewksbury, Ph.d. Pa |
---|---|
Speciality | Psychologist - Clinical |
Location | 11590 Seminole Blvd, Largo, Florida |
Authorized Official Name and Position | Guy L Tewksbury (PRESIDENT) |
Authorized Official Contact | 7273755924 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Guy L Tewksbury, Ph.d. Pa 50 8th Ave Sw # 2006 Largo FL 33770-3638 Ph: (727) 375-5924 | Guy L Tewksbury, Ph.d. Pa 11590 Seminole Blvd Largo FL 33778-3204 Ph: (727) 375-5924 |
NPI Number | 1982978193 |
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Provider Enumeration Date | 03/06/2012 |
Last Update Date | 03/06/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982978193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY4179 (Florida) | Primary |
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