| NPI | 1174234355 |
|---|---|
| Doing Business As | TGMG PSYCHOLOGY WESTSHORE |
| Entity Type | Organization |
| Authorized Contact | PETER TRAVIS RIAD CHANG VP Healthcare Design 813-844-3829 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2023-04-18 |