| M.fernanda Therapy Pllc | |
|
1413 S Disston Ave Tarpon Springs FL 34689-7911 | |
| (617) 840-1742 | |
| Not Available |
| Full Name | M.fernanda Therapy Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1413 S Disston Ave, Tarpon Springs, Florida |
| Authorized Official Name and Position | Maria Fernanda Gallegos (OWNER) |
| Authorized Official Contact | 6178401742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M.fernanda Therapy Pllc 1413 S Disston Ave Tarpon Springs FL 34689-7911 Ph: (617) 840-1742 | M.fernanda Therapy Pllc 1413 S Disston Ave Tarpon Springs FL 34689-7911 Ph: (617) 840-1742 |
| NPI Number | 1356174536 |
|---|---|
| Provider Enumeration Date | 08/22/2024 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356174536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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