Individual
DR. ELLIS L GESTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3500 E FLETCHER AVE STE 207, TAMPA, FL 33613-4795
(813) 971-4800
Mailing address
3500 E FLETCHER AVE STE 207, TAMPA, FL 33613-4795
(813) 971-4800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2222
FL
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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