Individual
DR. KRUTI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 8550
FL
103TC0700X
Clinical Psychologist
PY 8550
FL
103TP2701X
Group Psychotherapy Psychologist
PY 8550
FL
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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