ANTOINETTE C DEFAZIO

TAMPA, FL
NPI1851478382
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: FL  PY6666)
Additional Taxonomies103G00000X Clinical Neuropsychologist
(Licence: MD  1613)
103G00000X Clinical Neuropsychologist
(Licence: FL  PY6666)
Enumeration Date2006-11-01
Last Update Date2013-07-08
Business Address
Dr. ANTOINETTE C DEFAZIO Ph.D
6 TAMPA GENERAL CIR
TAMPA, FL 33606-3571
Phone number: 813-844-3541
Mailing Address
Dr. ANTOINETTE C DEFAZIO Ph.D
PO BOX 1289
TAMPA, FL 33601-1289
Phone number: 813-835-8069