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Organization

PSYCHIATRIC BEHAVIORAL SERVICES, INC

Active
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Organization

PSYCHIATRIC BEHAVIORAL SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD F MCCULLOUGH ARNP (PRES)
(727) 823-5555
Entity
Organization

Contact information

Practice address
6161 DR MARTIN L KING ST N, STE 102, ST PETERSBURG, FL 33703-1104
(727) 823-5555
Mailing address
PO BOX 47247, ST PETERSBURG, FL 33743-7247
(727) 823-5555

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9266748
FL

Other

Enumeration date
10/08/2012
Last updated
10/31/2012
About Stedi
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