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Individual

MARK A HAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY. D

Contact information

Practice address
2204 S PARSONS AVE, SEFFNER, FL 33584-5212
(813) 657-7754
(813) 684-6887
Mailing address
2204 S PARSONS AVE, SEFFNER, FL 33584-5212
(813) 657-7754
(813) 684-6887

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY6891
FL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PY6891
FL
103TC0700X
Clinical Psychologist
Primary
PY6891
FL
103TF0000X
Family Psychologist
PY6891
FL

Other

Enumeration date
02/15/2007
Last updated
12/28/2007
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