Individual
ELIA ENID VILLALOBOS SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-3541
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-3541
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY10895
FL
Other
Enumeration date
04/15/2018
Last updated
10/02/2023
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