Organization
PSYCHOLOGICAL MANAGEMENT GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C. WRIGHT PH.D. (DIRECTOR)
(813) 963-1016
Entity
Organization
Contact information
Practice address
15436 N FLORIDA AVE STE 102, TAMPA, FL 33613-1225
(813) 963-1016
(813) 961-6591
Mailing address
15436 N FLORIDA AVE STE 102, TAMPA, FL 33613-1225
(813) 963-1016
(813) 961-6591
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY4542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94978
BC BS
FL
Enumeration date
12/21/2006
Last updated
05/21/2012
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