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Organization
CENTER FOR CHILD AND ADULT PSYCHIATRY LLC
Active
Organization
CENTER FOR CHILD AND ADULT PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY THORKELSON MD (PRESIDENT)
(330) 632-0172
Entity
Organization
Contact information
Practice address
2909 W BAY TO BAY BLVD STE 210, TAMPA, FL 33629-8100
(813) 995-1775
Mailing address
1911 MONONGAHELA AVE UNIT 82661, PITTSBURGH, PA 15218-6616
(330) 632-0173
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/03/2019
Last updated
03/03/2019
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