Individual
DONNA ANTONELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
401 W KENNEDY BLVD, TAMPA, FL 33606-1450
(954) 914-9704
Mailing address
PO BOX 480035, FORT LAUDERDALE, FL 33348
(954) 914-9704
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 8843
FL
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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