Individual
MELISSA GISELLE MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12220 USF MANGO DR, TAMPA, FL 33620-0001
(813) 974-2831
Mailing address
901 W CHESTNUT ST UNIT 232, TAMPA, FL 33607-4480
(352) 208-7688
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY12901
FL
Other
Enumeration date
05/11/2023
Last updated
11/03/2025
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