| NPI | 1265831804 |
|---|---|
| Doing Business As | TAMPA BAY PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | SHANNA B. HEUN Owner, Operator, Provider 813-343-0830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY8953) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: FL PY8953) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY8953) | |
| 103TC1900X Psychologist, Counseling (Licence: FL PY8953) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY8953) | |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2016-02-15 |