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Organization

SHORELINE PSYCHOLOGICAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THEODORA COFFMAN PH.D. (PSYCHOLOGIST)
(727) 308-1180
Entity
Organization

Contact information

Practice address
146 2ND ST N, SUITE 310, ST PETERSBURG, FL 33701-3328
(727) 251-6874
Mailing address
146 2ND ST N, SUITE 310, ST PETERSBURG, FL 33701-3328
(727) 251-6874

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY9365
FL

Other

Enumeration date
11/09/2016
Last updated
06/16/2023
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