Individual
DR. SUZANNE E SHEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, PSYCHOLOGY (116B), TAMPA, FL 33612-4745
(813) 631-7135
(813) 631-7129
Mailing address
13000 BRUCE B DOWNS BLVD, MENTAL HEALTH AND BEHAVIORAL SCIENCE (116A), TAMPA, FL 33612-4745
(813) 631-7135
(813) 631-7129
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0004667
FL
Other
Enumeration date
02/17/2006
Last updated
07/12/2007
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