Organization
BAILLIO PSYCHOLOGICAL SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL N BAILLIO PHD (OWNER)
(813) 294-0577
Entity
Organization
Contact information
Practice address
735 ARLINGTON AVE N, SUITE 205, SAINT PETERSBURG, FL 33701-3652
(813) 294-0577
Mailing address
4081 BEACH DR SE, SAINT PETERSBURG, FL 33705-4125
(813) 294-0577
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY8287
FL
Other
Enumeration date
05/01/2015
Last updated
09/14/2016
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