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Organization

SOUTH TAMPA PSYCHOTHERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLIN DAVIS (PSYCHOTHERAPIST)
(813) 370-0994
Entity
Organization

Contact information

Practice address
205 S HOOVER BLVD STE 205, TAMPA, FL 33609-3533
(813) 370-0994
Mailing address
205 S HOOVER BLVD STE 205, TAMPA, FL 33609-3533

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/05/2018
Last updated
09/05/2018
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