Individual
DR. STANLEY CURTIS TAKAGISHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
13701 BRUCE B DOWNS BLVD STE 111, TAMPA, FL 33613-4647
(813) 690-8506
Mailing address
10411 LIGHTNER BRIDGE DR, TAMPA, FL 33626-1815
(813) 690-5806
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6420
FL
103TH0100X
Health Service Psychologist
PY6420
FL
Other
Enumeration date
07/11/2006
Last updated
09/21/2020
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