Organization
PSYCHOLOGY SERVICES ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J. PORTER JR. PH.D. (CEO)
(813) 810-8110
Entity
Organization
Contact information
Practice address
308 E OAK AVE, TAMPA, FL 33602-2344
(813) 810-8110
(813) 225-5678
Mailing address
118 W PLYMOUTH ST, TAMPA, FL 33603-5752
(813) 810-8110
(813) 225-5678
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
04/16/2013
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