Individual
DR. DAVID LASSITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
19 MARTINIQUE AVE, TAMPA, FL 33606-4005
(813) 431-9306
(813) 258-6560
Mailing address
19 MARTINIQUE AVE, TAMPA, FL 33606-4005
(813) 431-9306
(613) 258-6560
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY6342
FL
103TC0700X
Clinical Psychologist
Primary
PY6342
FL
Other
Enumeration date
02/21/2009
Last updated
02/21/2009
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