LIFESPAN PSYCHOLOGY SERVICES, LLC

TAMPA, FL
NPI1770844433
Entity TypeOrganization
Authorized ContactATHENA BOOLUKOS GORDON
President
617-784-0771
Organization Subpart ?No
Primary Taxonomy103T00000X Psychologist
Enumeration Date2012-05-30
Last Update Date2012-05-30
Business Address
LIFESPAN PSYCHOLOGY SERVICES, LLC
4201 BAYSHORE BLVD UNIT 1603
TAMPA, FL 33611-1669
Phone number: 617-784-0771
Mailing Address
LIFESPAN PSYCHOLOGY SERVICES, LLC
4201 BAYSHORE BLVD UNIT 1603
TAMPA, FL 33611-1669
Phone number: 617-784-0771
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