Individual
PETER ROBERT VAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
825 W LINEBAUGH AVE, TAMPA, FL 33612-7855
(813) 931-5560
(813) 932-4960
Mailing address
825 W LINEBAUGH AVE, TAMPA, FL 33612-7855
(813) 931-5560
(813) 932-4960
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
PY3301
FL
Other
Enumeration date
06/14/2017
Last updated
07/21/2022
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