Individual
DR. NATALIE MARTIN DIMISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2705 W JETTON AVE, TAMPA, FL 33629
(813) 215-8449
(813) 251-0273
Mailing address
2705 W JETTON AVE, TAMPA, FL 33629
(813) 215-8449
(813) 251-0273
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7156
FL
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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