Organization
JENNIFER MCGOLDRICK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER BRUCE-MCGOLDRICK PSYD, BCBA-D (PSYCHOLOGIST)
(813) 382-1459
Entity
Organization
Contact information
Practice address
10526 PALM COVE AVE, TAMPA, FL 33647-2987
(813) 994-5890
Mailing address
10526 PALM COVE AVE, TAMPA, FL 33647-2987
(813) 994-5890
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-01-0483
FL
103TC0700X
Clinical Psychologist
Primary
PY7716
FL
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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