Organization
PLAZA THERAPY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL RONALD LEROM PSY.D. (PRESIDENT)
(813) 281-9383
Entity
Organization
Contact information
Practice address
5201 W KENNEDY BLVD, SUITE 620, TAMPA, FL 33609-1845
(813) 281-9383
(813) 349-1766
Mailing address
5201 W KENNEDY BLVD, SUITE 620, TAMPA, FL 33609-1845
(813) 281-9383
(813) 349-1766
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0004407
FL
Other
Enumeration date
04/14/2007
Last updated
08/22/2020
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