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Organization

MOONRIVER PSYCHOLOGICAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANNA PATRICIA SCHRACK PH.D., NCSP (MANAGER)
(724) 840-5108
Entity
Organization

Contact information

Practice address
6706 DUNES LN, TEMPLE TERRACE, FL 33617-3207
(724) 840-5108
Mailing address
6706 DUNES LN, TEMPLE TERRACE, FL 33617-3207
(724) 840-5108

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
09/20/2023
Last updated
09/20/2023
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