Individual
DAWN SUKSANONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2201 CENTRAL AVE, SAINT PETERSBURG, FL 33713-8844
(727) 388-9003
(727) 216-9743
Mailing address
2201 CENTRAL AVE, SAINT PETERSBURG, FL 33713-8844
(727) 388-9003
(727) 216-9743
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9286
FL
Other
Enumeration date
05/07/2013
Last updated
06/09/2015
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