Individual
LYNDA GURVITZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11281 ULMERTON RD, LARGO, FL 33778-1626
(727) 585-7164
(727) 586-5922
Mailing address
11281 ULMERTON RD, LARGO, FL 33778-1626
(727) 585-7164
(727) 586-5922
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0003166
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238313
AMERIGROUP
FL
01
—
75601
BLUECROSSBLUESHIELD OF FL
FL
Enumeration date
11/30/2005
Last updated
07/08/2007
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