Individual
DR. HEATHER SEVEY LAWRENCE JIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 745-6369
(813) 745-3906
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 745-6369
(813) 745-3906
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7557
FL
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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