Organization
ANGELA MCBRIDE PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA M MCBRIDE PHD (PRESIDENT)
(813) 760-6709
Entity
Organization
Contact information
Practice address
2602 W CYPRESS ST, TAMPA, FL 33609-1723
(813) 350-9333
(813) 350-9666
Mailing address
2602 W CYPRESS ST, TAMPA, FL 33609-1723
(813) 350-9333
(813) 350-9666
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY6803
FL
103TC0700X
Clinical Psychologist
Primary
PY6803
FL
Other
Enumeration date
04/13/2008
Last updated
02/02/2009
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