Individual
LACEY CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6 TAMPA GENERAL CIR, TAMPA, FL 33606
(813) 844-7000
Mailing address
6 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10626
FL
Other
Enumeration date
03/22/2015
Last updated
11/27/2023
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