# DIANNA KALPAKIAN, PHD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619660420
- **Authorized official:** DR. DIANNA MARY KALPAKIAN PHD (CLINICAL PSYCHOLOGIST)
- **Authorized official phone:** (727) 773-5669

## Contact information

- **Practice address:** 15362 SWEET SPRINGS BND, ODESSA, FL 33556-2943
- **Practice address phone:** (727) 773-5669
- **Mailing address:** 15362 SWEET SPRINGS BND, ODESSA, FL 33556-2943
- **Mailing address phone:** (727) 773-5669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/29/2023
- **Last updated:** 05/29/2023