CANDIS MIAH CONNELL

TAMPA, FL
NPI1124556931
Former NameCANDIS CORNELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: VA  0810005647)
Enumeration Date2017-05-24
Last Update Date2022-02-02
Business Address
Dr. CANDIS MIAH CONNELL Psy.D.
13515 LAKE TERRACE LN
TAMPA, FL 33637-1003
Phone number: 813-919-9152
Mailing Address
Dr. CANDIS MIAH CONNELL Psy.D.
13515 LAKE TERRACE LN
TAMPA, FL 33637-1003
Phone number: 813-919-9152